Blue & Gray Miniature Aircraft Squadron

Application for Membership

Name _________________________________ Date of Birth ____________

Address  ______________________________________________________

City ____________________________ State _________ Zip ____________

Phone# ________________________________ AMA# ________________

E-mail Address ________________________________________________

Main Interest

RC Giant Scale _______ RC Sport/Scale _________ Sailplane ________

Electric _______ Helicopter _________

Initiation Fee $10.00 - $25.00 Yearly Fee:   Jr. Members No Dues until age 18.

Dues will be prorated per membership & Field Rent

Make Checks out to Blue & Gray M.A.S.

   Mail To:

   Ray Black

   28 Maple Ave

   Hanover, PA. 17331