Date          __________________________________                                          


Name        __________________________________________________________________________________________________


Address __________________________________________________________________________________________________


City             __________________________________________________________________________________________________


Zip Code_______________________________________________                                Changed Address?________________


Telephone #__________________________________         eMail_________________________________________________


AMA #___________________________________________________


Please attach a photocopy of your current  AMA card

Dues are $110.00 per year plus a one-time field assessment of $40.00 for new club members
Dues a prorated semi-annually.
Additional family members (under age 19) are $20.00 each.
AMA membership is mandatory for each member.

Please make payable to:                        San Jose Wavemasters

Send payment and applications to:      Kevin Beatty
                                                                    115 Comstock Rd
                                                                     Hollister, CA 95023


Please complete the following:

Are you an experienced R/C pilot?       Yes  _______       No   _________

Will you be an instructor?                       Yes  _______       No   _________

What radio channels are you using?    ________________________________________ (this info is needed to plot channel use)