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

Instructions

You must send the following items to apply:

  1. This membership form - Printed & Signed
  2. Waiver - Printed & Signed
  3. Copy of your valid M.A.A.C. membership card
  4. 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