AMA Membership Application
ACADEMY OF MODEL AERONAUTICS Application for 2009 Membership - One Individual Per Application
Please type or print the information clearly in CAPITAL letters. When completed, this form can be mailed with payment to AMA, 5161 E. Memorial Dr., Muncie, Indiana 47302-9252, Fax: (765) 741-0057, www.modelaircraft.org
Mr. Mrs. Ms.
First Name ___________________________ Initial _____ Last Name _________________________________
Mailing Address (number and street) _________________________________________________ Apt. # _______
City _________________________________ State _____________ Zip Code _______________
Home tel.: (_____) ______________________ Work tel.: (_____) ______________________ FAX: (_____) ________________
E-mail: ______________________________________ New Renewal (give old number if known) ______
E-mail has provided AMA with the opportunity to get information to our members in a timely, cost-efficient manner. AMA on occasion partners with reputable firms to promote products that will benefit both the member and the association. AMA does not trade or sell E-mail or mailing addresses. If you would prefer that we not include your name, please check the box(es) below.
- Please do not use my E-mail address for anything other than official AMA business.
- Please do not use my mailing address for anything other than official AMA business.
Yes, I was recruited by an AMA member. Member's name ______________________________ AMA # _______________
MEMBERSHIP CATEGORIES
All membership categories receive full membership and competition privileges, liability and accident/medical insurance (except where noted). Date of birth is required where indicated.
For those 19 or over as of July 1, 2009
- OPEN Membership $58.00 (Model Aviation included). (date of birth required) _______________
- Those 65 or over by July 1, 2009 may take a $10.00 deduction in dues.
- EXTRA Family Membership $30.00
- Applies to any one adult who resides in the same household as a current OPEN member. Magazine not included. List current OPEN member's name and AMA number: _____________________________
- PARK PILOT PROGRAM* $29.95 (Park Pilot magazine included). (date of birth required) ___________________
- *Aircraft must not exceed 2 pounds, 60 mph, and may not be powered with an internal combustion engine. Does not have voting rights, cannot compete in competitions, and has reduced liability insurance and no accident/medical insurance.
For those under 19 as of July 1, 2009
- YOUTH Membership $15.00 (Model Aviation included). (date of birth required) ______________________
- YOUTH/NO MAGAZINE $1.00 (Magazine not included). (date of birth required) _______________________
For Non-US and North American Permanent Residents
- AFFILIATE MEMBERSHIP $28.00 — insurance only while flying in the USA. Magazine not included.
- Name of National Aero Club ____________________ Expiration date _______________
- AFFILIATE MAGAZINE SUBSCRIPTION to non-US address — add $60.00 for a total of $88.00.
For Canadian Residents
AMA has a reciprocal agreement with MAAC. A current MAAC card will be honored at all sanctioned events or chartered club activities. For Canadians desiring AMA membership in addition to MAAC, choose either Open or Youth membership categories listed above. An additional $24.00 postage and handling is required for magazine delivery outside the United States. Please list current MAAC number and expiration date: ______________________
OPTIONS
Museum Patron Programs
- Museum Patron $25.00
- Supporting $100.00
- Sustaining $500.00
- Life $1,000.00
- Donation: $__________
Add $4.00 for Model Aviation mailed in a plastic protective covering.
Interests / Disciplines
Control Line:
- Aerobatic
- Carrier
- Combat
- Racing
- Scale
- Speed
- Sport
- Electric
Free Flight:
- Indoor
- Outdoor
- Scale
- Giant Scale
Radio Control:
- Electric Indoor
- Electric Outdoor
- Scale
- Giant Scale
- Helicopter
- Pattern
- Pylon
- Combat
- Park Flyer
- Sport
- Jet
- Soaring
Rocketry:
- I compete in FAI activities (check if applicable)
PAYMENT OPTIONS
- Check enclosed $__________
- Charge my VISA / MasterCard $__________
Card No. _________________________________ Exp. date ____ / ____ Cardholder's signature _______________________
DECLARATION / WAIVER
Please read and sign this declaration. 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 does not affect my liability insurance coverage.
"I agree to comply with the AMA Safety Code for all applicable model operations. I understand that my failure to comply with the Safety Code may endanger my liability coverage for any damages or claims so caused. I further understand that written notice of the occurrence of any incident must be immediately provided.
"I am aware that modeling may present hazards to participants and spectators. I exempt, waive, and relieve the Academy of Model Aeronautics, Incorporated (AMA) from all current or future liability for personal injury, property damage, or wrongful death caused by negligence."
Signature of Applicant ____________________________ Parent or Guardian of Applicant under age 18 must also sign ____________________
ONLY ONE APPLICANT PER FORM
INSTRUCTIONS
- Fix any remaining OCR errors or broken words.
- Ensure paragraphs are logical and well-separated.
- Use '## ' for main section headings and '### ' for subheadings.
- Use '- ' or '1. ' for lists.
- Output ONLY the reformatted PLAIN TEXT. No HTML, no preamble.
Transcribed from original scans by AI. Minor OCR errors may remain.
