Membership Form

Corona R/C Club, Inc.

AMA #1614

Wednesday February 22, 2012

First Name *	Name cannot contain numbers
Last Name *	Name cannot contain numbers
Address 1 *	Provide your street address
Address 2	Invalid Input
City *	City must consist of letters only
State *	Invalid Input
Zip Code *	Invalid Input
Phone *	Invalid Input
AMA Number *	Numbers only
Email	provide a valid email address
Date of Birth *	Invalid Input
ID Picture	Invalid Input	A picture isn't required to process your form. We will make arrangements to have your picture taken at a later time.
Aircraft Type	Airplane Helicopter Cars Invalid Input
Comments	Invalid Input
Membership Type/Options *	Invalid Input
Newsletter	Invalid Input	A surcharge can be added if you wish to receive a paper copy of the monthly newsletter
Total Price	0.00 USD
*	I accept the Terms and conditions Invalid Input

	Upon submitting the form, you will be taken away from the Corona RC Club's website and transferred to Paypal.com to complete the transaction. Once your order is complete, you will be redirected back to the Corona RC Club website. You do not need an account with Paypal.