Last Name ANNUAL MEMBERSHIP FEES
First Name Adult.................................$ 75
Address * Family............................$ 100
City, State, Zip Junior ...............................$ 20
Spouse (first name) Associate ........................$ 20
e-mail **FIRST YEAR INITIATION
AMA Number Adult & Family.........$ 60
Phone # Cell # Junior..........................$ 20
Describe R/C interests Total Submitted
*Submit an Application for each Family Member.
** First Year Initiation does not apply to Juniors within a
Family Membership or to an Associate Membership
...............Official Use Only...........
Date paid _______ Received by _____Check _______Cash ____
NEW MEMBER? YES NO
ARE YOU UNDER 18? YES NO
REQUIRE TRAINING? YES NO
FLY TURBINE ? YES NO
TURBINE PILOTS MUST HAVE A COPY OF THEIR AMA TURBINE WAIVER ON FILE WITH SRQ.
PILOTS OPERATING ON A FCC AMATEUR RADIO BAND MUST HAVE A COPY OF THEIR FCC LICENSE
ON FILE WITH SRQ.
I understand that I will be called upon from time to time to assist in various club functions
Signature _______________________ Mail, with proof of your 2012 AMA "OPEN" membership,
to: Sarasota R/C Squadron, Attention: Treasurer, 8730 Bee Ridge Road, Box # 3, Sarasota, Fl 34241-6303
(Make checks payable to: Sarasota R/C Squadron).
Membership ends each year on December 31, regardless of the date a membership application is received.
Applications received after September 30 will be valid for the remainder of that year and all the following year.