Coweta Radio Control Club

(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.__________________

Address_____________________________________________________________________________

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_____________

Witness:_____________________________________

 

Questions, contact

Club President: Gene Lavine cowetarc@yahoo.com 770-318-7069

or Treasurer Tom Gould firetom27@yahoo.com 678-953-2671

Send mail to:
CRCC
12 Greenville St
Newnan, GA  30263

Call for Club Meeting dates