2008 APPLICATION

RACINE R/C CLUB

AMA CHARTER #668

(PLEASE PRINT)

NAME:_________________________________________________________
ADDRESS:_______________________________________________________
CITY _______________STATE______ZIP _____________________________

PHONE:_____________________BIRTHDAY __________________________

E-MAIL ADDRESS:_______________________________________________

TRANSMITTERS:

BRAND:_____________________________CH: _____________________
BRAND:_____________________________CH:______________________

AMA# REQUIRED: ______________ IMAA# __________________________

RATES:
Annual regular member__ $60.00
*Family rate __________$70.00
**Junior rate (under the age of 19,Full time college student under the age of 22)__$1.00
***Senior members (65 years old & over)__$30.00
Non-flying member __$30.00

* Family member - Two adults that reside at the same residence.

**(All members shall be age shown on or before July 1st 2008)

***(Member achieves the age of 65 during the club's 2008 fiscal year)

Rates are 50% less after August 1st of 2008

Note: Membership in the club is conditional upon agreement to assist with staffing the Mt. Pleasant Compost Site, and AMA membership.

Please make checks payable to:

RACINE R/C CLUB, INC.

SEND TO:

Bill Dollase, SECRETARY/TREASURER
3335 Ascot Drive
Racine, WI. 53406

( Bill Dollase's Ph. 262-554-6217 )