Kennebec Valley Model Aviators
AMA Charter #3804
Membership/Renewal Application

Updated January 7, 2021

Name:
Date of Birth (Youth Only):
Street Address:

Town/City:
State:                        Zip:
Telephone:
Email Address:
AMA #:

NOTE: If you do not have your AMA number yet, please indicate the date applied here and report number to Treasurer as soon as possible:
Date Applied to AMA:

RC Channels You Use:

 ** I have read and understand the safety rules.  **

Member Signature: ___________________________________________     (Parent/Guardian signature required if under 18 years.___________________________________________)

The newsletter can be downloaded from the web site each month.   www.modelaviators.org

Please print and complete this membership application. Bring the completed application, along with your dues payment, to a KVMA meeting or mail application and payment to:

Make checks payable to Kennebec Valley Model Aviators

Chris Hall, KVMA Treasurer
67 East-West Lane
Belgrade, ME 04917

Email Address: crh3333@gmail.com

Dues:  Regular \\$70, Senior $65 (65 & over)
Family (same household) \\$90
Youth (under 16) Free

Welcome to the Kennebec Valley Model Aviators!