| NAME ___________________________________________________ |
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ADDRESS ________________________________________________ |
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PHONE # ( _______ ) _________ - ____________ |
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Email ____________________________ |
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DATE OF BIRTH __________________________ |
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AMA # ___________________________________ |
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RADIO CHANNELS ________________________________________ |
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Annual dues are 25.00 a year for adult memberships, 10.00 for each family member living at the same address, and 10.00 for a junior membership. Dues paid after Sept. 1 will be good for the following year. |
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I have read and will comply with all club and AMA rules. |
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