The Dusters

Radio Control Model Club

Membership Application

Send Application to

The Dusters

C/o Dale Nelson

PO Box 225

Woodburn, OR 97071

You may mail this application to the club Treasurer, or present it to any club Officer at the club meeting. For club meeting location, date and time information consult our web page at www.DustersRCclub.com.

Name:_____________________________________

Telephone:___________________

AMA No.________________

You must be a current AMA member. If you need AMA information call 1-800 I FLY AMA or online registration at www.modelaircraft.org

Address________________________________________

City_____________________

State_______

Zip______

E-Mail____________________

Do you have any R/C Aircraft experience Yes:____No:____ If yes number of years______

Do you need Pilot training from one of the Clubs Instructors Yes:___ No:____

Signature of applicant::_________________________________________________

Dues

One time Field Assessment $20.00

Annual dues January 1 to December 31 $60.00

Under 18 Free with current AMA Membership

Make Check Payable to Canby Dusters

Amount received: $___________

Received by:____________________________

Date:____/____/_____

New Member _____ Renewal ______

Radio Channels you currently use___________________

The monthly newsletter is posted on the clubs web site (www.dustersrcclub.com) if you would like to receive the

Newsletter by First class mail add $8.00 to the annual dues amount.