Indianapolis West Side Radio Control Modelers, Inc.

2008 Membership Application    

 

Name: _________________________________  Spouses name (optional): __________________________________

Date of birth (need this to determine membership fee): ____________________

Street Address: _____________________________________________________________________________________

City: ___________________________________State: ________ ZIP: ________________

Phones: HOME:__________________ Work (optional):__________________ Cell (optional):______________________

E-mail address: _____________________________________________________________________________________

AMA membership number: ___________________________________________________________________________

I am an AMA: CD ____Leader Member____

I want to volunteer to: _______________________________________________________ _______________________________________________________________________________

Your 2008 Academy of Model Aeronautics membership will be verified via the AMA web site. Each club member must be a member of AMA. All applicable discounts are included in the amounts shown below.

.........................................................Renewals & New Members Effective 2/1/08.

_____ SENIOR CITIZEN:(62 and Over)....................................................$55.00

_____ SENIOR: (19 TO 61, inclusive) .......................................................$60.00

_____ JUNIOR: (Under 19) ........................................................................$10.00

_____ FAMILY:(All AMA members in immediate family).......................$70.00

Amount included: .....................................................................$____________________

Please complete one application for each person and send with your check or money order, payable to "Indianapolis West Side Radio Control Modelers, Inc." (or “Westside Modelers”) to:

Ron Cox

Member Services

9610 Oakhaven CT

Indianapolis IN 46256-2199

Send this application form to your Printer.  Please print the requested Info.

Mail it or bring to meeting with your check.

Your membership card will be mailed to you as soon as we have AMA membership verification.