Newport News Park Radio Control Club

2017-2018 Membership Application

Valid from July 1, 2017 through June 30, 2018

Contact Information
Name *
Name
Address *
Address
Home / Wireless Phone
Home / Wireless Phone
Membership Information
Membership Type
Pilot Information
AMA Membership Expiration Date *
AMA Membership Expiration Date
Experience Level *
Frequencies Used *
Application Date *
Application Date
Application Agreement *
By selecting 'AGREE' and clicking SUBMIT, you certify that you are the individual represented in this application (or a parent / guardian of the individual) and the information entered above is accurate and complete. You also understand that submitting inaccurate or false information may result in delayed processing or rejection of this application.

This form may be printed and mailed to:

Bruce Thompson
726 Chatsworth Drive
Newport News, VA 23601

Please include a photocopy of your current AMA membership card and a self-addressed, stamped envelope if you would like your NNPRCC membership card mailed back to you.