Molalla Radio Control Association

Membership Application & Renewal Form

Print out this page, then mail the completed form, along with a check in the amount of $100.00 made payable to "Molalla Radio Control Association", to the address shown at the bottom of the page.

Name:___________________________________ A.M.A. Number (required)________________

Address:________________________________________________________________________

City:______________________________________ State: _____ Zip:____________________

Phone:_____________________________ Email:_____________________________________

Current flying interests: (Circle all that apply)

Sport; Scale; Helicopters; Gliders; IMAC; Pattern; Combat; Rockets; Boating;

Other(s)________________________________________________________

Radio control frequencies in use (by channel number):_____, _____, _____, _____, _____

I have read the Molalla Radio Control Association's General Field Rules and agree to abide by them:

(Signature)_______________________________________________ Date_______________

Mail this membership application form, along with your check in the amount of $100.00 made payable to "Molalla Radio Control Association", to:

Molalla R.C. Association

Bob Pearson, Secretary & Treasurer

21071 S. Mossy Rock Court

Oregon City, OR 97045-9139