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2008 Application / Renewal Form for the Circle City Flyers,
Inc.
One form per applicant
_____________________________________________________
AMA
Number Email Address
_______________________________________________________________________________
Last Name First
Name Initial
_______________________________________________________________________________
Street
Address
_______________________________________________________________________________
City
State Zip
_______________________________________________________________________________
Home
Phone Work
Phone Cell Phone
_________________
Birth
Date I would____ would not____ be willing to
read the newsletter online.
I have read,
and received a copy of, and agree to be bound by, the By-Laws
and Safety Code of the Academy of Model Aeronautics (AMA).
Applicant agrees to be bound by any additions and/or
modifications to the above referenced documents as published in
the CCF newsletter and/or posted on the bulletin board at Deleo
Field
X________________________________________________________________________________
Signature of
Applicant
Date
X________________________________________________________________________________
Signature of
Parent or Guardian if Applicant is under 18 years of
age Date
Return application to P.O. Box
6307, Corona, CA 92878 with proof of current AMA Membership and
remittance. |