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Membership Application Form

Merrill R/C Flyers Club

Please print out this form using your browsers print function.

Name______________________________________________

Address____________________________________________

City____________________ State_______ Zip____________

Phone: (         ) _______ - ______________

Type of Membership__________________________________

Amount Paid: $_________________

AMA Membership Number: ______________________

Membership fees cover from January 1rst through December 31st.


 

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