Please contact Ralph Tutor to obtain a real application form prior to applying.
|
Last Name: ______________ First Name: ________________ Mi: ___ Age: ____ Occupation: ___________________ Street & Apt.: __________________________________________ City: _________ State: _______ Zip Code: ___________ E-Mail Address: ________________________ Home Phone: _____________ Work Phone: _____________ AMA Number: _________ IMAA Number: ______________ DO YOU RENT OR OWN YOUR RESIDENCE __________ DO YOU HAVE HOME OWNERS OR RENTERS INS. __ YES __ NO RADIO CHANNELS YOU HAVE _________________ NUMBER OF YRS FLYING R/C _____ YEARLY DUES ARE $125.00 PER YEAR FOR OPEN MEMBERS. JAN.1 THRU DEC. 31. MAKE CHECKS PAYABLE TO RALPH TUTOR FOR THE FULL AMOUNT MAILING ADDRESS: 8221 TUTOR-STEPHENS RD.NO BILLS WILL BE SENT OUT (YOUR RESPONSIBILITY TO RE-NEW ON TIME). SIGNATURE: ____________________ DATE: _____________ NOTE: YOU MUST HAVE CURRENT AMA TO FLY AT THE SWAMPS FLYING FIELD |