Lakehead Aeromodellers Application Payment/Renewal Form

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Your MAAC Membership #

First Name

Last Name *

Address *

City

Province

Postal Code

Cell Phone Number
*

Home Phone Number

Email:
*

Radio Type
*

2.4GHz

72MHz

Obbligatorio

New/Renewal Membership type
*

$150 Regular member, on or Before March 31st

$175 Regular member ,From April 1st.

$75 Regular member, After August 15th.

$50 Junior Membership (18) years (no vote)

$65 Camp & Fly member (no vote)

$75 New member, on or Before March 31st

$90 New member ,From April 1st.

$40 New member, After August 15th.

Altro:

How will you be paying? *

Cash / Cheque and will drop off with the club Treasurer at the next club meeting

Dropping off membership fees & this form at Lakehead Models (please print this page).

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