HAMPSHIRE COUNTY RADIO
CONTROLLERS, INC.
MEMBERSHIP APPLICATION
_____________________________________________ _____________________
NAME AMA
#
_______________________________ __________________ ________
_____
NO. & STREET
______________ _______________ ________________________
PHONE DATE OF BIRTH E-
OCCUPATION ________________________________________
AREAS OF INTEREST: ___
SPORT___ SCALE ___ AEROBATICS ___ RACING
EACH APPLICANT MUST BE SPONSORED BY
THREE HCRC MEMBERS:
___________________________________________________
___________________________________________________
___________________________________________________
PRESENT THIS COMPLETED APPLICATION
HCRC OFFICER
____________________________
DATE __________
MEMBERSHIP CATEGORY INITIATION FEE ANNUAL DUES
General
$25
$65
Senior $25 $35
Second Family Member $ 5 $20
(Immediate family)
Junior (under 18) and
Non-Flying $ 5 $20
NOTES:
______materials
_____ other ______________
?
Ask about our SHARES PURCHASE
PROGRAM
APPLICANT’S SIGNATURE
________________________________ DATE _____________