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Enrollment form for MembershipQuestions?For help completing this form , contact AMA at (800) completed form toAcademy of Model Aeronautics5161 E. Memorial IN 47302Or fax your form to: (765) Contact Information (Only one individual per form .) Mr. Mrs. Name & InitialLast NameMailing Address (number and street)Apt.#CityStateZip CodePhoneDate of Birth:Email: New Member RenewalAMA # (Renewals only - leave blank if unknown)Recruiter Information: If you were recruited to join AMA by a member, AMA club,or hobby shop, please indicate only one and list the name and AMA number (if known).Recruiter Name:Recruiter AMA #Primary area of interest (choose only one): Radio Control Control Line Free Flight Rocketry Multirotor2. Membership CategoryChoose only one of Adult, Park Pilot, Youth, or Affiliate membership categories receive membership, liability and accident/medical insurance, and competitive privileges unless MembershipsTwo-Year MembershipsAdult (New & Renewing) For adults 19 or over as of July 1, 2018.

Enrollment Form for Membership Questions? For help completing this form, contact AMA at (800) 435-9262. www.modelaircraft.org Return completed form to

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