AMA Membership Application
Academy of Model Aeronautics 5161 E. Memorial Dr. Muncie, IN 47302 1-800-435-9262
Only one applicant per form. You may photocopy if needed.
- New member
- Renewal: give old number if known ____________
First Name ____________________ Initial ____ Last Name ____________________
Mailing Address (number and street) _________________________________________
City ________________________________ State ________ Zip Code ____________
You may send this application by fax if paying by VISA or MasterCard. Fax Number: 1-765-741-0057
- Yes, please send a confirmation to: Fax number: ( ) ____ - _____
Home phone number: (____)_____ - ________ E-mail Address ____________________
Work phone number: (____)_____ - ________
All membership categories receive full membership and competition privileges, liability and accident/medical insurance.
Date of Birth (requested for all applicants) ________________________________
Membership Categories
For those 19 or over as of July 1:
- Open Membership - $48.00 (Model Aviation included)
- Senior Citizens (age 65 or older as of July 1) may take an optional $10.00 reduction in dues. (Must submit proof at time of original application.)
- Extra Family Membership - $30.00
This category applies to any one adult who currently resides at the same address as a current Open Member (magazine not included).
- Youth Membership - $1.00 (magazine not included)
For those under 19 as of July 1:
- Youth Membership - $13.00
For Headquarters Use Only
Current Open member's name and AMA number ________________________________
Options:
- FAI Stamp $35.00
- National Site Development $______
- Add $6.00 for Model Aviation mailed in an envelope
Total $ _______
- Check
- VISA
- MasterCard
Credit Card No. ____________________________ Exp. Date __ / __
Card Holder's Signature ________________________________________________
Interests and Participation
Primary Interests (check one)
- Control Line
- Free Flight
- Radio Control
- Rocketry
- Aerobatic
- Racing
- Indoor
- Electric
- Pylon
- Outdoor
- Helicopter
- Soaring
- Combat
- Scale
Area of participation (check one)
- Speed
- Carrier
- Scale
- Pattern
- Sport
- Jets
Waiver, Release, and Safety Code
Everyone MUST read and sign below - applications without signatures will be returned.
Note: this waiver means that if I am involved in any claim or suit I will not sue the AMA, Inc. I understand that this waiver affects my liability insurance coverage.
Safety Code compliance and waiver and release of liability statement:
I agree to comply with the AMA Safety Code for all applicable model operations. I understand that my failure to comply with the Code will result in failure of liability coverage.
Insurance coverage is effective on the date of receipt at AMA Headquarters of a properly completed application and correct dues payment. Membership ends each year on the date of receipt of a membership application unless otherwise specified. Applications received after October 31 will be valid for the remainder of that year and all of the following year. If a magazine is included with the membership it begins with the issue following the receipt of a correct application and dues payment. For those who receive the magazine, it expires with the issue printed in December (which is available for the year after a correct current application and payment are received). Membership rates and insurance limits are those in effect at the time of printing.
Transcribed from original scans by AI. Minor OCR errors may remain.
