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Mesquite
Modelers Radio Control Club (MMRCC)
Membership
Application Year 2004
AMA
Charter 1164
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Name: __________________________________________
AMA Number: _____________
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Mailing Address: _________________________________________________________
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City: _______________________________
State: ____________ Zip: ___________
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Telephone Number: ______________________
Transmitter Frequencies: ________
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Email Address: ___________________________________________________________
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Dues: Junior-$20/year
Senior-$40/year Open-$50/year Senior Family-$60/year Family-$75/year
Join the first half of year
and pay full year, Join in the second half and pay half dues.
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Do you want your name,
address and phone number released
to other members
of the club via our homepage site?
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YES___
NO___
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Membership
in the Academy of Model Aeronautics (AMA) is required.
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Mail completed application
to:
Tom Fenn Jr., 5041 S. Santa
Ana Ave., Sierra Vista, AZ 85650
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