D. C. OFF-ROAD R/C PARK MembershipApplication | |||
Applicant Information | |||
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Name: | |||
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Phone: | |||
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Address: | |||
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Email: | |||
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City: |
State: |
ZIP Code: | |
Family Members appling | |||
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1: | |||
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2: | |||
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3: | |||
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4: | |||
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5: | |||
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6: | |||
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7: | |||
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8: | |||
FEES | |||
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(Membership is valid from Jan 1 to Dec 31 of the applying year) | |||
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1st Member $65.00 |
$ | ||
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Each Additional Family Member $25.00 |
$ | ||
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Total: |
$ | ||
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Signature: |
Date: | ||