Peninsula Modelers Association

AMA Charter #1303

P.O. Box 659

Kenai Alaska 99611

Membership Application

Current AMA # _____________________(Required)

Name: _________________________________________

Mailing
Address: _________________________________________________

City: ______________, State: ______________, Zip: _________________

Circle One

Active - ($40.00)  /  Family - ($50.00)  /  Junior - ($10.00)

E-Mail: Family $50.00

Phone: Junior $10.00

Work Phone: Associate $20.00

Radio Channels: New Renewal

RC Experience None Beginner Experienced Instructor

  • You must be an AMA member to participate in any club flying activities.
  • If mailing please include a copy of your current AMA membership card.
  • Meetings are held at 7:30 pm on the first and third Tuesdays of each month.
  • If you have difficulty paying your dues in full, contact the club President.
  • Membership expires on December 31 of the current year.

Please read carefully and sign

As a member of Peninsula Modelers Association (PMA), I agree to abide by all current and future rules of the AMA, PMA and it’s flying sites.

I further understand that any violation of their rules may cause one or more of the following actions to be taken against me.

  • A letter of reprimand.
  • Suspension of flying privileges.
  • Expulsion from PMA.

Signature: Date:

Parent or Guardian: Date:

Official Use Only

Date Received:        Received By:            Amount Received:        

Check #: Receipt #:

Date Approved: Approved By: