FOREST CITY FLYERS
2010 MEMBERSHIP APPLICATION
PLEASE PRINT CLEARLY
NAME: ________________________________________________ DOB: _________________
(FIRST) (LAST) YR MO DAY
ADDRESS: _________________________________ APT#: _______
CITY: London or __________________ POSTAL CODE: _____ _____
TELEPHONE # ( ) _______ __________ Business # ( ) ______ __________
E-MAIL: ____________________________
MEMBERSHIP TYPE: Junior (Under 18) ___ Open (18 & over) ___
CURRENT MAAC MEMBERSHIP: NO ____ YES ____ MAAC MEMBERSHIP # ___________
RADIO CHANNEL NUMBERS: 72 MGz ________ ________ ________ ________ ________
SPECTRUM 2.4 GHz System: Yes _______
I hear by agree to abide by the Forest City Flyers Constitution, Club Field Rules and by the decisions made by the Executive regarding membership.
______________________________________________
(Signature)
CHECK AREAS YOU WOULD BE INTERESTED IN HELPING:
EVENT JUDGE ___ HOSPITALITY ___ CLUB NEWSLETTER ___ FIELD MAINTENANCE ___
MEMORIAL RALLY ___ MALL EVENTS ___ EXECUTIVE POSITION ___ FUN FLY ___ MEETINGS ___
DATE: ______________________ APPROVED BY: _____________________________
Contact Doug Morrow, Membership Chair @ 519-641-4065 for membership fees and more information.
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