MARKS Application

First name

Last Name

Nick name

Phone

Address

City

State

Zip code

Sponsor's name

Select Membership Type

AMA Membership Number
FAA Registration Number

AMA expiration
FAA expiration

Fixed wingRotaryMulti-rotorTurbineStudent/new pilot
I have received and read AMA Safety Code
I have completed TRUST Training

I have received and read MARKS Field Rules
I have received and read MARKS Bylaws

Name of family individual member

I am younger than 18 on April 1 of the current year of membership

The following information may permit the club to connect you with people of like interests.

Other hobbies and interests
Career
Recent models built
Do you compete in flying competitions?
Comments (optional)

Dues for membership $40 per year (now until March 31, 2023). Please use the Paypal page or contact John Haffner (mooneyjock@outlook.com) to pay dues

Dues for membership $50 per year (now until March 31, 2023). Please use the Paypal page or contact John Haffner (mooneyjock@outlook.com) to pay dues

Dues for membership $100 per year (now until March 31, 2023). Please use the Paypal page or contact John Haffner (mooneyjock@outlook.com) to pay dues