WESTERN CAROLINA RADIO CLUB - APPLICATION FOR NEW MEMBERSHIP (Returning members please contact an officer for assistance) Revised August 2016 Anyone applying for membership in the Western Carolina Radio Club agrees to obtain and maintain a Full Adult or Youth membership in the Academy of Model Aeronautics (AMA) - http://www.modelaircraft.org/ Each applicant also agrees to abide by all applicable FCC, AMA, and WCRC rules. WCRC Rules and officer list (under Club Info) are on the WCRC website - http://www.wcrcskyhawks.com/  TYPE OF MEMBERSHIP DESIRED (check one):   ___       SENIOR Adult aged 62 or older as of January 1 of the membership year (see Dues Schedule)   ____ ADULT Adult aged 19 to 61 as of January 1 of the membership year (see Dues Schedule)   ____ YOUTH  Any person aged 18 or under as of January 1 of the membership year (see Dues Schedule)   ____ DISABLED  Any person defined as disabled by any U.S. Government agency   ____ FAMILY           Multiple family members residing at the same address (see Dues Schedule) NAME: _______________________________________________________________________________________ ADDRESS: ____________________________________________________________________________________ CITY, STATE, ZIP: ______________________________________________________________________________ PHONE: _______________________   E-MAIL ADDRESS________________________________________ DATE OF BIRTH: __________________ AMA #:_________________ FLYING STATUS (circle one):  Novice     Pilot (For a FAMILY membership, please list other Name(s), Date(s) of Birth, AMA number(s) and Flying Status – use back if necessary.) NAME:  ___________________________________________________DATE OF BIRTH: _____________________   AMA #: __________________________ FLYING STATUS (circle one):  Novice      Pilot DUES SCHEDULE - INCLUDES $25 NEW MEMBER INITIATION FEE (Once per Family) If you are applying between January 1 st  and June 30 th , your membership year is the CURRENT calendar year. Use the dues listed under the Full Year column. For a FAMILY membership, take the cost of the oldest applicant and add $20.00 for each additional family member residing in the same household regardless of age. If you are applying between July 1 st  and October 31 st , your membership year is the CURRENT calendar year and the Half Year dues apply. For a FAMILY membership, take the cost of the oldest applicant and add $10.00 for each additional family member residing in the same household regardless of age. If you are applying after October 31 st , the Full Year dues apply but your membership year is the NEXT calendar year and your membership will extend through December 31 of next year. Please calculate ages based on next year. Full Year Membership plus Initiation fee Half Year Membership plus Initiation fee SENIOR                                        $   85.00                                                                    $ 55.00 ADULT                                        
              $ 125.00                                                                    $ 75.00 YOUTH                                         
              $   85.00                                                                    $ 55.00   DISABLED                                  
              $   85.00                                                                    $ 55.00 FAMILY See above or contact an officer for assistance.                                     Make checks payable to WCRC and Mail to: WCRC PMB #106 2607 Woodruff Rd STE E Simpsonville, SC 29681 SIGNED: _________________________________________________________ DATE: ___________________
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