AIR MASTERS

New Membership Application

Must be submitted to Club Officers for Approval

Along with $75.00 Application Fee

Name: _______________________________________

Address: _____________________________________

City: ______________________ State: ___________

Zip Code:_________

Home Phone #: ________________________________

Cell #: ________________________________________

E-MAIL: _______________________________________

Channels you fly on: _____________________________

AMA Number: ______________________

Flying Experience: _______________________________

Dues are $75.00 per year payable by April 1.

Club and Instructor release form must be signed

Junior Members (under 18) is $25.00 per year

Junior Members must have minor release form signed