Georgetown Radio Control Club
Membership Application / Renewal
First Name:
Last Name:
Address:
City:
Province:
Postal Code
Please provide at least 1 phone number
Home Phone:
Cell Phone:
Email Address:
M.A.A.C. Number:
Applicant Signature:
Parent/Guardian Signature:
If applicant is under 18
My contact information may be published on a club members list available to other club members
I am a new member
Membership Fee
Regular
$60
Junior (Under 18)
$10
*New members are required to do a safety overview with a member of our executive team
Instructions
You must send the following items to apply:
This membership form - Printed & Signed
Waiver - Printed & Signed
Copy of your valid M.A.A.C. membership card
Cheque - Payable to
"Georgetown Radio Control Club"
for the amount listed above.
Mail All Items To
Kent Chaput
23 Gower Court
Georgetown, ON
L7G 4L6