AMA ENROLLMENT FORM
SIGNING UP ONLINE IS EASY. VISIT WWW.MODELAIRCRAFT.ORG/JOINAMA TODAY!
1. Contact Information
First Name & Initial Last Name
Mailing Address Apt. #
City State Zip Code Phone
Date of Birth: Email: □ New Member □ Renewal AMA #
(Renewals only - leave blank if unknown)
2. Select Membership Type
One-Year Two-Year
Adult • Adults 19 or over as of July 1, 2021.
• Includes subscription to Model Aviation magazine.
□ Adult $75.00 □ Adult $140.00
Senior • Adults 65 or over as of July 1, 2021.
• Includes subscription to Model Aviation magazine.
□ Senior $65.00 □ Senior $120.00
Park Pilot • Adults 19 or over as of July 1, 2021.
• Includes subscription to Park Pilot magazine.
Park Pilot membership is for aircraft 2 pounds or less that fly below 60 mph and does not include voting rights or competitive privileges. Park Pilot membership insurance benefits are limited to $500,000 of liability coverage.
□ Park Pilot $38.00 □ Park Pilot $70.00
Youth • For anyone under 19 as of July 1, 2021.
• Includes subscription to Model Aviation digital
□ Youth $15.00 □ Youth $27.00
Support the AMA Foundation
General Fund
□ $25 □ $50 □ $100 □ $500
□ $__________
AMA Site Development
□ $25 □ $50 □ $100 □ $500
□ $__________
Club Support
□ $25 □ $50 □ $100 □ $500
□ $__________
Scholarship Fund
□ $25 □ $50 □ $100 □ $500
□ $__________
Museum Patron Program
□ $25/Patron □ $100/Supporting
□ $1,000 / Life
Donation Total:
3. Payment
□ Check □ Visa □ Mastercard □ Discover Card No. - - - Exp:
All membership benefits begin on the day a properly completed form and correct dues payment is received at AMA Headquarters. If a magazine is included with the membership, it begins with the first issue available for the year after a correct current form and payment are received. Membership rates and insurance limits are those in effect at the time of printing. Actual cost of dues and amount of insurance coverage are subject to change. Any such changes will be noted at the time of membership processing so they may be accepted or not. If I am involved in any claim or suit I will not sue the AMA, Inc. I understand that this does not affect my liability insurance coverage. “I agree to comply with the AMA Safety Programming.”
Mail completed form to:
AMA 5161 E. Memorial Dr. Muncie IN 47302
Signature: ________________________________________________
Total: $__________
Application Source:P
SIGN 3 FLY FREE Recruited by: AMA#
