2001 Membership Application
Academy of Model Aeronautics 5151 E. Memorial Dr., Muncie, IN 47302 1-800-435-9262
Only one applicant per form. You may photocopy if needed.
Contact Information
- New member o Renewal: give old number if known ___________________________
- First Name ______________________ Initial _____ Last Name _______________________________
- Mailing Address (number and street) _________________________________________________
- City ________________________________ State ________ Zip Code _______________________
- Home phone number: (___) ___ - ____ Work phone number: (___) ___ - ____
- E-mail Address _______________________________
- Date of Birth (requested for all applicants) ___________________________________________
You may send this application by fax if paying by VISA or MasterCard. Fax Number: 1-765-741-0057
- Yes, please send a confirmation to Fax number: (___) ___ - ____
All membership categories receive full membership and competition privileges, liability and accident/medical insurance.
Membership Categories
For those 19 or over as of July 1, 2001:
- Open Membership — $48.00 (Model Aviation included)
- Extra Family Membership — $30.00 (Applies to any one adult who currently resides at the same address as a current Open Member; magazine not included)
Current Open member's name and AMA number _________________________________________
For those 65 or over as of July 1, 2001:
- Senior Citizen Membership — $38.00 (Must submit proof of age at time of original application). Model Aviation included.
NEW REDUCED PRICE
For those under 19 as of July 1, 2001:
- Youth Membership — $13.00 (Model Aviation included)
- Youth Membership — $1.00 (Magazine not included)
FOR HQ USE ONLY
Museum Patron Programs / Options
- Museum Patron — $25.00
- FAI Stamp — $35.00
- Supporting — $100.00
- National Site Development — $_________
- Sustaining — $500.00
- Add $6.00 for Model Aviation mailed in an envelope
- Life — $1,000.00
$ __________
Payment Method
- Check
- VISA
- MasterCard
Credit Card No. ____ ____ ____ ____ - ____ ____ ____ ____ - ____ ____ ____ ____ - ____ ____ ____ ____ Exp. Date ____ / ____ Card Holder's Signature _________________________________
Primary Interests (check one)
- Control Line
- Free Flight
- Radio Control
- Rocketry
- Aerobatic
- Racing
- Indoor
- Electric
- Pylon
- Jets
- Combat
- Scale
- Outdoor
- Helicopter
- Soaring
Area of Participation (check one)
- Speed
- Carrier
- Scale
- Pattern
- Sport
Waiver, Release and Safety Code
Everyone MUST read and sign below — applications without signatures will be returned.
Note: This waiver means that if I am involved in any claim or suit I will not sue the AMA, Inc. I understand that this waiver does not affect my liability insurance coverage.
Safety Code compliance and waiver and release of liability statement:
I agree to comply with the AMA Safety Code for all applicable model operations. I understand that my failure to comply with the Safety Code will result in failure of liability coverage.
Signature ________________________________________ Date _______________
Transcribed from original scans by AI. Minor OCR errors may remain.
