Millersburg RC Modelers Membership Application Form
2010
Please fill out
this form completely!!
Please circle your level of RC model flying ability: beginner intermediate experienced
Name: ______________________________________Youth (under 18) ____ Adult _____
Address: _________________________ City: _______________ State: ____ Zip: _______
AMA Number: _______________ Year: __________ Home Phone: __________________
Your e-mail address: _____________________________ Cell Phone: ________________
Interest: Gas ____ Glo ___ Electric Park Flyer ___ Park Flyer AMA No: ______________
Members receive a monthly newsletter, usually during the first two weeks of the month. The newsletter will arrive by e-mail. If you are unable to receive e-mail, please note so above, and you will be sent a newsletter by regular mail. If you do not receive confirmation within 6 weeks after joining, please contact, Gene Stutsman, 574-533-6110, balloon@maplenet.net, or by mail at 802 S. Indiana Ave., Goshen, IN 46526
Application Process:
I, the undersigned, have read, understand and accept both the application process as outlined above, and the attached/downloaded bylaws for the use of Rink Flying Field. I also and agree to abide by all of the club's business rules as established in the club's constitution. A copy of the club's constitution is available by request from the club's secretary.
Signature of Applicant: _____________________________________________ Date: _____________
Download, print and read the 2 pages of the Rink Field Rules also,
Please sign above, and return this application and payment to:
Gene A. Stutsman
802 S. Indiana Ave.
Goshen, IN 46526