WESTERN CAROLINA RADIO CONTROL
Application for Membership
Printed 2005
TYPE OF MEMBERSHIP DESIRED (check one):
_____ADULT Any person age 18 or over
_____JUNIOR Any person under age 18
_____FAMILY One ADULT and a spouse and/or any number of JUNIOR residing in the
same house
_____RETIRED Any person age of 62 or over, and employed less than 32 hours per
week, or any person defined
as retired by reason of tenure, and employed less than 32 hours per week
_____DISABLED Any person defined as disabled by any U.S. Government agency
NAME:________________________________________________________________________________
ADDRESS:____________________________________________________________________________
CITY, STATE,
ZIP:______________________________________________________________________
HOME PHONE:____________________ E-MAIL ADDRESS_________________________________
DATE OF BIRTH:____________________ AMA CARD #:____________________ (attach copy)
FLYING STATUS (check one): _____Novice _____Pilot
(For FAMILY membership, please list other Name, Date of Birth, AMA number, and
Flying Status)
FAMILY
NAME:________________________________________________________________________
DATE OF BIRTH:____________________ AMA CARD #:____________________ (attach copy)
FLYING STATUS (check one): _____Novice _____Pilot
I understand that flying privileges at WCRC are subject to my obtaining and
maintaining a current AMA membership.
I agree to abide by all applicable FCC, AMA, and
WCRC rules.
SIGNED:____________________________________________________
DATE:___________________
DUES SCHEDULE (Revised June 2002)
INITIATION FEE (ONE TIME) FOR ALL MEMBERSHIPS $ 25
(January 1 thru March 31)
FAMILY (each extra member over 1, add $ 5) $ 85
ADULT $ 65
JUNIOR, RETIRED (62), DISABLED $ 25
(April 1 thru October 31)
FAMILY (each extra member over 1, add $ 3) $ 43
ADULT $ 33
JUNIOR, RETIRED (62), DISABLED $ 13
(November 1 thru December 31)
ALL MEMBERSHIPS CARRIED OVER TO JANUARY 1
Make checks payable to WCRC and Mail to:
Western Carolina RC
PMB #106
2607 Woodruff Rd STE E
Simpsonville, SC 29681