Goosedale Model Flying Club

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MEMBERSHIP APPLICATION / RENEWAL FORM 2010

Surname……………………………….If Junior, state age on joining…………………… years

Preferred First Name……..…………………………………………………………………….

Full Address ……………………………………………………………………………………..

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

…………………………………………Post Code……..………………………………………

Telephone Number ………………………… Mobile……………………………….……..

E-Mail Address ………………………………………………………………………………….

I agree to allow my details to be circulated to other club members  YES/NO

BMFA Number ………………………….Achievement Status A or B……………………

INTERESTS Fixed Wing Helicopter Control Line Other

(Circle relevant)

PREFERED FREQUENCY/S (Channel No) 1)……….. 2)……….. 3)………..

FEES FOR 2010

ADULT (16 & over) £45.00 Junior up to and including 15years £10

NO JOINING FEE REQUIRED

Joining or rejoining after 1^st August £25

make cheques payable to Goosedale M F C

Send to Alistair Fulton, 4 Lambert Gardens, Aspley, Nottingham NG8 5HG

Tel 0115 9291117 Email al@fultonsweb.co.uk

Or

Brian Marshall 77 Mosswood Crescent Nottingham NG5 5SU

Tell 01159 260278 E-Mail Marshall.Brian@yahoo.co.uk

B M F A Fees for 2010 Senior, £29.00 Junior £15.00 Cheques payable to B M F A

Send to BMFA Membership Dept, Chacksfield House,

31 St Andrews Road, Leicester, LE2 8RE

Or Telephone 0116 2440028

(They will accept credit cards by telephone and will post your card etc.)

YOU MUST HAVE INSURANCE TO FLY

(For Office Use)

GOOSESDALE MFC. Fee Paid (Cheque / Cash) £…………………

B M F A Fee Paid (Cheque / Cash £…………………

Received by………………………………………. Date …………………...

Chairman D Evans. Secretary A Fulton. Treasurer B Marshall.

Joint Membership Secretaries A Fulton & B Marshall Senior Safety Officer G White.