(CRCC) Membership Form for 2014AMA Charter #4482,
1. Please complete the entire form. Sign and date the affidavit and send with check for dues to CRCC 12 Greenville St. Newnan,GA 30263
Each family member must fill out a separate form. Make checks payable to CRCC. Enclose a self-addressed, stamped envelope and you will receive, by return mail, your 2012 membership sticker to place on the top right corner of your AMA card.
2. Initial club membership fee is $130.00 ($50.00 initiation and $80.00 1st year dues). Dues for members 65 and over are $110.00 ($50.00 initiation and $60.00 1st year dues). Dues for active military personnel and those 17 and under are $35.00 yearly with no initiation fee. Add $20.00 for each additional flying family member. Membership is valid through November 30, 2014
3. Yearly renewal dues will be $80.00 for regular membership, $60.00 for members 65 and over, and $35 for active military personnel and those 17 and under. Add $20.00 for each additional flying family member. All renewals must be paid by November 30th or a $20.00 late fee will be applied. After December 31st unpaid members will be removed from the roster and considered new members.
Name AMA No.__________________
City State Zip___________
Phone (_____)_______________________Spouse Name_________________________________________
E-Mail Address __________________________________________@___________________________
Status: Renewal___ New Member___Active Military_____ 17 and Under___ Over 65___
Affadavit: I hereby solemnly swear OR affirm that I have an AMA membership for 2014 (current or coming year), and will maintain a current AMA membership through 2014.
For and in consideration of my acceptance as a CRCC Member, I hereby agree to abide by all regulations of the Academy of Model Aeronautics and the bylaws, safety and field rules of the CRCC currently in effect or hereinafter adopted by the club. Posted on www.cowetaradiocontrol.com
I AGREE to be bound by all club rules and regulations concerning liability for damages arising from my use of club facilities, runways, fields and other areas.
I acknowledge receipt of the current bylaws, rules and regulations of the Club and agree that the terms of this application are contractual and not mere recital.
Signature:______________________________ (seal) Date_____________
Club President: Gene Lavine email@example.com 770-318-7069
or Treasurer Tom Gould firstname.lastname@example.org 678-953-2671
Send mail to:
12 Greenville St
Newnan, GA 30263
Call for Club Meeting dates