Club Membership Application Form

Date:       ___________________	NEW			Renewal

Name:     ______________________________________________________________

Address: ______________________________________________________________

City:       _______________________ Prov. _________________  P.C. ____________

Phone:   Res: _____________________ Other: _______________________________

Age: ______________    Sex  M [  ]  F [  ]    M.A.A.C Number : __________________

Fee?s (Yearly)	Open  $60.00         Junior  $5.00           Family 	
	Family is 	1st member full fee, 
			2nd member « fee
			3rd member and over ¬ fee		Total Club Fee?s  $________

							        M.A.A.C fee?s Attached  $________

If M.A.A.C fee?s not attached has proof of M.A.A.C. Been Provided?  Y [ ]   N [ ] Signature of authorization (M.A.A.C card shown) ____________________ 

								      Total Fee?s Attached $ _________

(Membership Cannot Be extended to Non MAAC/AMA Members)

Membership in Meridian Model Flyers requires from time to time, support and participation in club activities which may include, but not limited to field maintenance and development; organization, and administration and community projects.  Your support of Club activities will help to make it a better club for all involved. Thank you and Welcome.

Applicants Signature __________________ Executive?s Signature __________________

Frequencies used (if Known)________________________________________________