NAME____________________________________________DATE OF APPLICATION__________________________________

ADDRESS:

STREET____________________________________________

CITY____________________________________________STATE_______ZIP______________________

PHONE____________________________________________

IF SNOW BIRD. SUMMER ADDRESS: FROM______________________UNTIL______________________

STREET____________________________________________APT, UNIT______________________

CITY____________________________________________STATE______ZIP_____________________

PHONE____________________________________________

E-MAIL ADDRESS____________________________________________

AMA No. required______________________

Membership in AMA (Academy of Model Aeronautics) is necessary (in order for you to be properly insured) before you can join the HSFA. You can contact the AMA at 1-800 1 FLY AMA for information.

DUES: Initiation fee $20.00, includes name tag and patch, plus $20 for first year = $40.
$20 each year after.

WHAT SKILLS DO YOU HAVE THAT MIGHT BENEFIT THE CLUB OR OTHERS?________________________________________________________________________________________

WOULD YOU BE WILLING TO HELP NEW MEMBERS TO FLY? YES____________NO___________MAYBE____________

WOULD YOU BE WILLING TO HELP OUT AT CLUB FUNCTIONS? YES____________NO___________MAYBE____________

WOULD YOU BE INTERESTED IN ATTENDING CLUB GET TOGETHERS? I.e., FUN FLIES, BAR-B-Q'S
ETC. YES____________NO___________MAYBE____________

OPTIONAL INFORMATION:

WHAT IS (WAS) YOUR OCCUPATION______________________

NAME OF SPOUSE OR SIGNIFICANT OTHER______________________

ARE YOU AFFILIATED WITH ANY OTHER R/C CLUB? IF SO GIVE NAME______________________

DATE OF BIRTH______________________WHERE?______________________

CLUB APPROVAL______________________DATE______________________

Please return application and check payable to "Havasu Sport Flyers Association"