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TORNADO
ALLEY MODEL AVIATORS Application for 2008 membership |
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First Name _____________________________Initial _____Last Name____________________________________ Mailing Address (number and street) ____________________________________________Apt. No_____________ City __________________________________State ______________________________Zip Code_____________ Home Telephone ______________Email_______________________[ ] New [ ] Renewal Member since__________ AMA No ______________________________Sponsored by___________________________________________ Membership Categories: [ ] Open Membership $35.00 Voting privileges after 90 days Expires 31 Dec. 2008 [ ] Junior Membership $15.00 No voting privileges Expires 31 Dec. 2008 [ ] Family Membership $55.00 Expires 31 Dec. 2008 (Includes one (1) Open member with voting privileges) Paid by [ ] Cash [ ] Check # ____________ Please read and sign this
declaration. Applications without signatures will be
returned. |
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| I
agree to comply with AMA rules and regulations and Tornado
Alley Model Aviator bi-laws and safety codes. I
understand my failure to comply with these rules and regulations can result in expulsion from the club. I am aware that r/c modeling may present hazards to participants and spectators. I exempt, waive and relieve Tornado Alley Model Aviators its members and officers and the City of Coffeyville, Kansas from all current or future liability for personal injury, property damage or wrongful death caused by my own negligence. I acknowledge that I have received a current copy of the club bi-laws. Signature of applicant _________________________________Date______________ Parent or Guardian of applicant under the age of 18 years______________________________ Date________________ _________ |
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| Office
use only:
AMA Membership confirmed
by________________[ ] Check
Cleared___________________ |
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