Southwest Area Park Modelers
Membership & Registration Application

 

                   Name:  ___________________________________________________

                                Address: __________________________________________________   email: _________________

                                City: ______________________________ State: _____________ Zip: ________________

 

                                Phone:  _____________________  AMA#:  _________________  DOB: _______________
 

                                Flying Ability                                             Area of Interest

                   Student                      Sport – Radio            Free Flight

                   Pilot                           Scale Radio               Control Line

                   Instructor                  Helicopters                Sailplanes

                         Interested in Events?  Contestant or Spectator

                   Fun Fly                      Scale Contest            Pattern Contest

                                      Pylon Racing                      R/C Combat

                   Other _________________________________________________

 

                                                    Regular - $50.00 + $20.00 Assessment Fee

          Membership Type    Senior - $35.00+20.00 Assessment Fee (62 is the age for Senior’s)                   

                                                                                      Additional Family Members $10.00 – No Assessment Fee

          New Membership         Renewals - $50.00 or $35.00  (if age 62 by April 30)

                                                       ($20.00 late fee for ALL if paid after April 30)        
Note: Assessment fee is a one time fee for new memberships ONLY and Jr’s NO assessment fee until age 18.

 

                Amount Submitted: $___________________

 

I have read the Constitution and Bylaws of this Club, as well as the Field Rules and I agree to abide by them.


Signed: _______________________________                   Date:  _____________________

Send completed Application along with Check Payable to:

SWAP Modelers c/o Art Vail, SWAP Treasurer: 1327 Sulpher Spring Road; Arbutus, MD 21227.

For additional Information, Call Art Vail @ 410-925-6306 or 410-247-4281
E-Mail:  artvail@verizon.net