Santa Barbara Radio Control Modelers
			P.O. Box 6571
			Santa Barbara, CA  93160
			Membership Application
Name:	____________________________________________					Phone:	Home ______________
Address: __________________________________________							Work _______________
City: _______________________________				Zip: __________			Cell ________________
Email Address: _____________________________________							Birthdate: ___________
AMA Number:		_______________		Radio Channels: _____ _____ _____ _____ (X for 2.4Ghz)
Names of family members (under 18) to be included in your adult membership:
_________________________			_________________________			_________________________
Spouse	_________________________
Aircraft interests:		Nitro _____  Electric _____  Jets ____________ Warbirds _____
(check all that apply)
		Gliders ___  Helis _______  Aerobatics _______ Racing _______
I wish to receive flight instruction:  Yes _____  No _____
I am an accomplished flyer who could train others:  Yes _____  No _____
Amount Remitted:		Dues ($50 for adult, $25 for youth under 18)						________
		Runway Assessment ($50 for adult, $0 for youth)						________
		Total						________
Additional Notes: __________________________________________________________
Note to Applicant:		Please send AMA application directly to AMA
Note to Treasurer:		Please forward this form to Club Secretary after processing.