RADIO
CONTROL FLYERS UNLIMITED, INC.
MODESTO,
CA
APPLICATION
FOR MEMBERSHIP
NAME:___________________________________________________________
ADDRESS:____________________________________________________________
CITY:_______________________
STATE:________
ZIP:_______________
PHONE:_________________________
CELL:___________________________
E-MAIL:__________________________________
DOB:___________________
(mm/dd/yyyy)
AMA #:___________________
DATE OF APPLICATION:__________________
(mm/dd/yyyy)
Initiation fee ($25 one time fee)..........................................
_________
Annual Dues
Open Member ($50/year)*..........................................
_________
Senior Member ($0/year)..........................................
_________
Associate Member ($25/year)...................................
_________
Family Membership ($25/year)..................................
_________
Name of Open Member in family (Initiation
fee not required)
_________________________________________
Field Assessment Fee ($300)
Installments (three payments of $100/year)................_________
Full Payment (discounted $25 = $275)......................
_________
TOTAL.............................................................................
_________