Huddersfield & District Model Aircraft Club
Application for Membership from 1st January 2010
(Please Note that All Subscriptions are Renewable on 1st January 2011)
(Please Complete clearly in BLOCK CAPITALS)
Surname : ………………………….........….Forenames : …………………………………………Title : ………
Home Address : ………………………………………………………………………………….........................……….............................................................................................................................................
…………………………………………….....................................................……Post Code : ………………….
Phone No : ……………………......……Mobile Phone No: …………………….............……………………….….
Date of Birth …………………………E-Mail :…………………………….................................................…….
Are You a Member of the B.M.F.A ? Yes / No ........... B.M.F.A. Membership Number …………………....
Club where subscription was paid / Country Member:………………………………………………………………….
Interests: Power ………...Thermal ……….. Slope ……….. Electric ………. Helicopter ………Jet ..........
Experience: Novice ……… Improver ………. Old Hand ……….. Expert ………..B.M.F.A.
Cert. A/B …….... NOTE: Existing members have until the 15th of January to rejoin after which the rejoining fee will be charged.
2010
Subscriptions | Club Subs. only | + Joining Fee | = Total | + BMFA if required | = Total |
Senior Member | £38.00 | £5.00 | £43.00 | £23.00 | £66.00 |
Senior Citizen | £19.00 | £5.00 | £24.00 | £23.00 | £47.00 |
Junior Member | £ 9.00 | Nil | £ 9.00 | £12.00 | £21.00 |
Family Partner | £38.00 | £5.00 | £43.00 | £17.00 | £60.00 |
Family Junior | £ 9.00 | Nil | £ 9.00 | £9.00 | £18.00 |
Please Circle your Choice and insert Amount Paid here :- £ .............Cheque / P.O / Cash
I confirm that the details I have given above are correct.
I agree to uphold and abide by the Constitution and Rules of the Huddersfield & District Model Aircraft Club as outlined in the Club Web Site and as detailed in the Club Handbook.
I agree that my details may be held on a Computer Database for administrative purposes
Signed : ........................................ Date : ............................. |
(Please Delete as appropriate) + To be completed in the case of an applicant who is below the age of 18 years or is a Vulnerable Adult. I am the Parent / Guardian / Carer of the above named applicant.
I have read and understood and agree to conform with the Club Policy on Caring for Juniors below the age of 18 years and Vulnerable Adults, as outlined in the Club Web Site and as detailed in the Club Handbook.
I agree that our details may be held on a Computer Database for administrative purposes
Name (Please Print)………………….……………….Signed : ........................................ Date : ............................. |
Membership Secretary:Mr. John R. Mosley, 19, Greenside, Denby Dale, Huddersfield, HD8 8QY.
Phone : 01484 865896 E-Mail : jrmosley@btinternet.com
Cheques payable to " H.D.M.A.C "
Please Print this A4 Form and send with your payment to the Membership Secretary.