Print this form using the print page link at the very bottom or download the application below. RECKER R/C CLUB, INC. APPLICATION Name________________________________ Date of Birth_________ Address______________________________ Phone_______________ City, State, Zip Code_________________________________________ Email Address______________________________________________ AMA Number_______________
Please Check Level Of Interest: ______ I need help with selection of plane/equipment ______ I am new to the hobby and need help building and/or learning to fly. ______ I know how to fly, but sometimes need help ______ I know how to fly.
Yes, I want to become a member of the Recker R/C Club. I understand that the annual dues are $100. Contact Secretary -Treasure Jerry McNutt for any Questions concerning dues and amounts. I am enclosing my check or cash payment. My signature indicates that I agree to abide by and adhere to the AMA safety code and the Recker R/C Club field and flying rules and that any violation thereof may result in the imposition of the sanction including the loss of privileges and membership. I understand I am responsible for any damage caused to other members, guest, or the general public as a result of any negligence on my part.
Signature________________________
Return this form with a copy of your current AMA card to:
Recker R/C Club, Inc. Jerry McNutt (Sec.-Treasurer) 201 East Perry Str. Walbridge, Ohio 43465 Ph. 419-661-9167 Email: p51nutt4@aol.com
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