2011 RCCCW Membership Application

(Radio Controlled Car Club of Wenatchee)

First Name:_______________                                       Last Name:_______________

Address:_________________                                      City:_____________________

State:____________________                                       Zip Code:_________________

Phone # __________________                                      Cell:______________________

Frequencies Owned (2 Minimum) ____     _____  PT #_________________________

    I agree to abide by the club By-Laws, Competition Rules, Special Event Rules, and Park usage rules set forth by the Membership of RCCCW and Eastmont Metro Parks & Recreation. I understand that ANY flagrant violation of these rules may result in expulsion from RCCCW and forfeiture of all club dues.

Signature:_____________________                               Date:___________________

2011 RCCCW Dues:

 If Paid by March 1^st      _____ Membership: $40.00      _____Family Membership $50.00

 If Paid After March 1^st _____ Membership: $50.00     ______Family Membership$75.00

 Please List all dependants and Ages.

 Name:_________________________________             Age:____________________

 Name:_________________________________             Age:____________________

 Name:_________________________________             Age:____________________

 Name:_________________________________             Age:____________________

  Please note, A valid ROAR membership is required to race at RCCCW.

Please Mail to:

RCCCW

P.O. Box 2483

Wenatchee Washington 98807

Make checks payable to RCCCW

Amount Paid__________    BY:___________       Accepted By:____________________