Club Membership Application

New Membership Application

Please complete all required fields and then submit your application.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
E-mail*
Phone Number*

Area CodePhone Number
Date of Birth*

MonthDayYear
AMA Number*
Type your AMA number as a numerical number (e.g., 1234567)
Have you ever been expelled from another club?*

YesNo
If "Yes," please provide a brief summary of the reason.
Desired Membership Type*

Single Membership (e.g., Youth, Adult, Super Senior)Family Membership

Primary Interests

Electric AirplanesGlow/Gas AirplanesDronesHelicoptersTurbine JetsElectric Ducted Fan Jets
Experience Level*

BeginnerIntermediateAdvancedExpert
Would you like to receive flight training?*

Yes, I need flight trainingNo, I can fly safely on my own
NOTE: Please note that we require all pilots to have adequate flying skills.

If you are not confident that you can safely take off, safely perform fundamental maneuvers, and safely land your airplane, you must receive flight training before attempting to fly on your own at our flying field.
To confirm that you are an actual person completing this form, please enter the below text as it's shown.*
After you submit your application, please return to the main application web page to submit your membership payment. We will contact you to confirm your application and receipt of your payment within 24-48 hours.

Thank you!

Bend Aero Modelers
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New Membership Application