CCRCS MEMBERSHIP APPLICATION 

DATE______________________________

Applicants must be a member of the ACADEMY OF MODEL AERONAUTICS (AMA) before they
will be accepted for membership in the Clark County Radio Control Society. (CCRCS)
The initial initiation fee and dues must be paid at the time of submission of application.
Dues are $56.00 per year, or $4.67 per month. (If you were to join in June your dues would be $32.69)
plus $20.00 initiation fee. Any renewal sent in before March 1st will be discounted $5.00. ($56.00 less $5.00
early renewal= $51.00)
Any member of the same household or any person holding a Junior AMA Membership receives a 50%
discount on dues!
YOU MUST submit a photocopy (or show proof) of your AMA card with this APPLICATION.
Applicant Information

Name_____________________________________________________

Address___________________________________________________

City State Zip______________________________________________

AMA # Phone#_____________________________________________

Email Address_____________________________________________

Radio Frequency (s)_________________________________________
Applicant Agreement
I, the undersigned, have read and understand the AMA National Model Aircraft Safety Code, and will
abide by the CCRCS By Laws. Before flying my aircraft I will thoroughly under-stand the boundaries and
rules of the CCRCS flying field
Applicant Signature_______________________ Date_____________________
Send this application and a check made out to CCRCS (along with a self addressed, stamped envelope if possible) to

CCRCS
c/o Steve Piper
2438 Lewis River Rd
Woodland, Wa 98674
e-mail: rcsteve1@yahoo.com
Website: www.clarkflyers.com
Back