Cullman Aero Modelers Membership Application

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Name

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Address

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City                                       State                       ZIP

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PHONE #

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AMA #

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Membership - $100 Annual Dues Covers Entire Family

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Junior Membership - $25 Annual Dues (0 to 19 years old) unless covered under the above

List Names and AMA Numbers of Additional Family Members

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Come to Burdeshaw-Welti Field with your application! OR mail it to:

Marilyn Lutzky
1632 Katherine St NW
Cullman, AL  35055

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