Emerald City Flyers
Membership Application
Fee schedule: Annual membership dues are $50.00.
Pro-rated: Jan- $50.00: Feb-$45.84: Mar-$41.68:Apr-$37.52:May-$33.36
Jun-$29.20:Jul-$25.00:Aug-$20.84:Sept-$16.68:Oct-$12.52:Nov-$8.36:Dec-$4.20
Name:_________________________________________________________
Address:_______________________________________________________
City:________________________State__________Zip_________________
Phone:__________________Alternate______________________________
E-Mail_____________________________________Birthday___/___/_____
Current Flying Channels________/________/________/________/_______
__I am currently an AMA Member, My AMA number is_______________________
__I am NOT a current AMA member, I have applied for membership.                  
* I understand that I must show proof of AMA membership
Prior to my first flight.                                                 
__I am a beginner pilot and will need flight training.                                            
__I am an experienced flyer.                                                                                
* I will remain a member of the AMA as long as I am a  
member of Emerald City Flyers.                                
* I will abide by all AMA and Emerald City Flyers Rules.
* I understand ECF, club members,or property owners is
not responsible for injuries to me, or any member of
my party, while at the club flying field.                      

Additional family membership fee is $10.00
Spouse___________________Birthday___/___/___AMA#___________
Child____________________Birthday___/___/___AMA#___________
Child____________________Birthday___/___/___AMA#___________


Signature___________________________________Date_____________
Hosted by www.Geocities.ws

1