Walsall model aero club Membership Application Form

Surname ……………………………………………………... First Name ………………………………….…

Address ………………………………………………………………...………………………………….…………

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

Post Code ……………………………..…..….…… Home Telephone No ………………………..……………

E mail Address …………………………………………..… Mobile No ...……………………………….....

Flying certificates held   BMFA………………………………CPT……………………………………………….

I hereby apply to join the Walsall Model Aero Club and agree to abide by the Club Rules.

Signed …..…………………………………… Date …………………… Fee Paid ...………………………

Membership No ……….………………… Accepted By ……………………...……………….……….………