Membership Application "*" indicates required fields Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Please provide us with a valid telephone number in case we need to reach you.Email*We use your email address to send the monthly club newsletter and periodic club information to. Enter Email Confirm Email Please contact the Membership Coordinator to provide any/all new information at membership@arvadamodelers.comBirthdate*We use your birthdate to determine Junior eligibility and to list in the newsletter. MM slash DD slash YYYY AMA Number*Don't have one yet? Apply online. (Not required for Associate Members.) Additional Contact Is the person making an on-line payment for this application different than the person named in this application?YesNoPayers Contact Name Payers Contact Email Enter Email Confirm Email MembershipMembership Type*What kind of membership would you like?New AdultNew FamilyAdult RenewalFamily RenewalJuniorAssociateAs defined by Article IV Section 4 of the AAM Bylaws, Associate members have no flying or voting rights.Junior Memberships Price: QuantityIf applicable, enter the number of additional Junior memberships to include with your application.Please enter a number greater than or equal to 0.Family Members*Please list additional members for family memberships (must include name, relationship, birthday, and AMA number). For example: Jane Doe - Spouse - 05/23/1968 - AMA 123456 Junior Doe - Son - 08/12/1999 - AMA 654321Junior Members*Please list members for junior memberships (must include name, relationship, birthday, and AMA number). For example: Jane Doe - Daughter - 12/09/2001 - AMA 123456Additional Months QuantityIf applicable, to true-up your membership with your AMA membership, enter the number of additional months to include in your AAM membership. Price: $6.00 Quantity Fewer Months QuantityIf applicable, to true-up your membership with your AMA membership, enter the number of fewer months to include in your AAM membership. Price: -$6.00 Quantity AAM DonationWould you like to make a donation to the club?YesNoDonation Amount*Please enter any dollar amount you'd like to donate to AAM Total Agreement* I agree to conform to the bylaws and standing rules of AAM and to support the maintenance of the club facilities and assist with club activities Total for Membership and Donations Payment Method*Cash/CheckCredit or Debit CardPlease bring your payment to the next club meeting or mail your check to: Arvada Associated Modelers PO Box 745931 Arvada, CO 80006-5931 Credit Card Cardholder Name Card Details You must press Submit button to complete the transactionEmailThis field is for validation purposes and should be left unchanged. Δ
