Michigan Whirlybirds
Radio Control Helicopter Club
2008

MEMBERSHIP APPLICATION / RENEWAL FORM

Please complete all information

Date ____________                 Amateur Call Sign ___________ RunRyder ID ____________

Name _____________________________________

Address ___________________________________

City ____________________  Zip Code __________

Phone No.   Area Code (             )_________________

Date of Birth ____________  Current AMA No. __________  Card seen by __________

First became member of Michigan Whirlybirds in __________ (Year)

Radio Channel(s) ______________ Helicopters on the channel(s) _____________

E-mail address ______________________________________________

Dues:

• Junior (17 & Under) ...................................................................................... $15.00
• Regular (18 to 65) .......................................................................................... $30.00
• Senior dues (65 and over w/3 years. active) .......................................... No Charge
• Initiation and/or late fee ............................................................................... $10.00
• Freedom Hill Parking Permit (Mandatory per club rules).................... $25.00

Half dues are charged after August 1st of the current year.

When paying Membership you must present your current AMA card.

Checks should be made out to 'Michigan Whirlybirds'

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Officer Signature ______________________________ Amount Paid $_______

You will need four things to renew by mail:  

• Fill out a membership application

• A photocopy of your 2008 AMA card

• A check for the proper amount made out to Michigan Whirlybirds

• A self addressed stamped envelope

Send all of the above to:

Dan Horan

8463 New Bradford