COQUITLAM AREA MODEL REMOTE CONTROL (CAM RC) 2005 MEMBERSHIP

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COQUITLAM AREA MODEL REMOTE CONTROL (CAM RC) 2005 MEMBERSHIP Powered By Docstoc
					   COQUITLAM AREA MODEL RACING CLUB (CAM RC)
         MEMBERSHIP APPLICATION FORM


First Name:                                Last Name:

Address:                                           City:

Province:                                          Postal Code:

Home Phone:                                        Work/Cell:

Email Address
Print Clearly
                             PAYMENT METHOD

Cash Only Please
New Membership Fee - $50.00
Renewing Membership Fee -$40.00
Jr. Membership 16 and under -$20.00
Single Membership only Family Memberships don’t apply
Family Membership Fee - $10.00
First family member at full price other direct family $10

CAM RC information/notices will be sent out via Email. Please indicate if Email access
is unavailable.
Email (Primary)                    Home Phone


I hereby acknowledge and agree that as a member of CAM RC, I use the RC
car facilities located at the Upper Coquitlam River Park at my own risk and
am responsible for adhering to the rules and regulations stated in the CAM
RC handbook and follow the Facility Use License statement. By signing this
agreement, I also agree to get a “Facility Use License” card from Pinetree
Community Centre at 1260 Pinetree Way Coquitlam, B.C. V3B 7Z4 prior to
using the track facilities.


Member Signature                                            Date


CAMRC Signature                                             Date


          RENEWALS ARE DUE BY APRIL 1st OF EACH YEAR.
Payment may be made to any CAM RC committee member or at: RACE TECH HOBBIES #2-2731
                         Barnet Hwy. Coquitlam, B.C. V3E 1K9

				
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