Kennebec Valley Model Aviators
AMA Charter #3804
Membership/Renewal Application

Name:
Date of Birth (Youth Only):
Street Address:

Town/City:
State:                        Zip:
Telephone:
AMA #:

NOTE: If you do not have your AMA number yet, please indicate the date applied here and report number to Treasurer as soon as possible:
Date Applied to AMA:

RC Channels You Use:

“I have read and understand the safety rules.”

Signature: ___________________________________________

The newsletter can be downloaded from the web site each month OR mailed   Check One. Download Mail

Please print and complete this membership application. Bring the completed application, along with your dues payment, to a KVMA meeting or mail application and payment to:

Al Hawk, KVMA Treasurer
202 Dutton Road
South China, ME 04358

Email Address: arhawk@uninet.net

Dues:� First Year \\$50,� Regular \\$50, Senior $45
Family (same household) \\$70
Youth (under 16) Free, Patron \\$20

Welcome to the Kennebec Valley Model Aviators!