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Pryor Prop Busters
Membership Application

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                                Please fill out completely

                                      Please Print

Date:__/__/__

Name:_________________________________________

Phone: # (___)-___-____

AMA: # ________________

Address:_______________________    Apt. #____

City:_______________________________________

State:__ 

Zip:_____

Channel numbers you will use:__,__,__,__,__,__,__,__,__,__ 

Birth Date:__/__/__

E-Marl Address if any:_____________________@_____________________

Can you access the Newsletter via the Web Site ?__Yes__No

Membership Dues

Type of membership applied for:

   
Renewal
 ($100 per year, or $10 per month if under 3 years in the club)     

   ($50 per year if over 3 years in the club)

   
New member
 
There is a $30.00 initiation fee which includes our official cap, 

   A.M.A./club name badge and your first months dues. Club dues are then 
   $10.00 a month or $100.00 a year for the first 3 years.

   

Junior member
 
FREE if flying with a member (Under 16)

   
Aux. Field Privileges
 $10.00 per month

You will be asked to mow at least once during the membership year unless you 
have asked for a mowing waiver.

Mowing Waiver $40.00 (must Pre-register with Ken Reddick

Total Amount Paid: $___.__

I understand and will abide by all of the rules of AMA and the Pryor 
Prop Busters.

Signature:
 _____________________________

To print application form click, on Club Application Form.txt, to print file 

You must be a member of the 
Academy of Modelers Aeronautics.

To fill out an online AMA Application Form, courtesy of the VIII District  
click on  A M A