Membership Application Eugene RC Aeronauts P.O. Box 26344 Eugene, OR 97402 Name _______________________________________________ (A Mug shot is needed for your Membership card, a .jpg photo or allow us to take a digital photo or attach a print photo we can scan and return) Address _______________________________________________ City _______________________________________________ Zip ___________________ Telephone(s) _________________________________________________________________ Email _________________________________________________ Newsletter via Email ___ The Eugene R/C Aeronauts, Inc is organized for the purpose of flying and promoting the hobby of radio controlled model aircraft. We are a Chartered club of the Academy of Model Aeronautics (AMA) and require the following information before a person is considered for membership: Check your AMA status; http://www.modelaircraft.org/MembershipQuery.aspx 1. AMA membership number ______________________ FAA # _____________________________ 2. Initiation Fee: Persons under age 19 who are admitted to the club, shall be $5.00. The initiation fee for families and for persons 19 years of age or older, shall be $25.00. Plus a once-in-their-lifetime "Field Improvement Fee" of $75. 3. Dues: Active and drilling military free membership and initiation. Age 18 and younger (no dues) Age 19-64 $70.00 Age 65-79 $55.00 Age 80 and over $40.00 Individuals under the age of 19 who are immediate family members of any current club member do not pay initiation fees or dues but must apply for membership and be approved in the same manner as any other applicant. New members who are 19 years of age or older and who are not included in a family membership, shall pay 1/12 of the appropriate dues for each month remaining in the year, during which they become members. In no case shall dues be assessed that would exceed the appropriate annual dues. I hereby indicate my desire to become a member and uphold the Constitution and by-laws and privileges of membership in the Eugene R/C Aeronauts: ______________________________________ _________________ __________________ Signature Date Date of Birth Contacts: Roger Dahl, President 541-579-5959 Martin Booth, Treasurer 425-373-6158 ERCA WEB SITE www.eugenerc.org FAA Registration www.faa.gov/uas/registration 12-26-22