VRCF Membership Application

 Last Name: ____________________________________________

First Name:____________________________Middle Initial:_____

Address: _______________________________________________

City: ______________________ State: ____ Zip Code: _________

Phone: _________________ Email:__________________________

AMA#: ___________________ IMAA#: ______________________

Radio Frequencies:       

2.4 yes/ no __________ or 72 mhz.: ___ ___ ___ ___ ___ ___ ___

VRCF Dues: $95.00 Per Year Non-Mowing Rate

VRCF Dues: $50.00 Per Year Mowing Rate

Youth under 18: $10.00 Per Year

Retired over 62: $70.00 Per Year Non-Mowing Rate

Retired over 62: $25.00 Per Year Mowing Rate

Year ends December 31, 2016

Safety Pledge: I pledge at all times to operate my aircraft in a safe and prudent manner. I will comply with all applicable rules of AMA, FCC, FAA, and VRCF, which pertain to the operation of radio controlled models at the club’s site.

Signature:__________________________________ Date: ______________

Years in R/C flying _____________

Do you compete in contests? ____________

Do you wish to participate in Club events? _________

Please make checks out to “VRCF” and mail to:

Chris Mott

315 Northampton Circle

Victoria, TX 77904

AMA Charter #4185