Leen Valley Model Flying Club

MEMBERSHIP APPLICATION / RENEWAL FORM 2007

Surname……………………………….If Junior, state age on joining…………………… years

Preferred First Name……..…………………………………………………………………….

Full Address ……………………………………………………………………………………..

……………………………………………………………………..………………………………

…………………………………………Post Code……..………………………………………

Telephone Number …………………………   Mobile……………………………….……..

E-Mail Address ………………………………………………………………………………….

BMFA Number ………………………….Achievement Status A or B……………………

INTERESTS         Fixed Wing        Helicopter        Control Line        Other

(Circle relevant)

PREFERED FREQUENCY/S   (Channel No)    1)………..    2)………..    3)………..

FEES FOR 2007

ADULT (18 & over) £45.00   Junior up to 14 yrs.  £10   Junior 15 – 17 yrs.  £22.50

New Member Joining Fee  £5.00    Rejoining Fee if paid on or after 1^st March  £5.00

Joining or rejoining after 1^st September £30 (including joining fee)

Please make cheques payable to   Leen Valley M F C

Send to Alistair Fulton, 4 Lambert Gardens, Aspley, Nottingham NG8 5HG

Tel 0115 9291117      Email  [email protected]

B M F A Fees for 2007   Senior, £27.00  Junior £14    Cheques payable to B M F A

Send to BMFA Membership Dept, Chacksfield House,

31 St Andrews Road, Leicester, LE2 8RE

Or Telephone  0116 2440028

(They will accept credit cards by telephone and will post your card etc.)

(For Office Use)

LEEN VALLEY MFC.                  Fee Paid  (Cheque / Cash)         £…………………

B M F A                                       Fee Paid  (Cheque / Cash           £…………………

Received by……………………………………….               Date …………………...

      Chairman   M Brentnall.         Secretary A Fulton.       Treasurer   B Marshall. 

Senior Safety Officer   A Brightman.