| This
is to certify that I have read and understand the Cal Poly EFR usage
regulations and that I agree to abide by them. I understand and agree
that in any case of discrepancy between Cal Poly. AMA and SLO Flyers
Inc. regulations, the more stringent regulation will apply.
Name (please
print)__________________________________________________
AMA
Number______________________________________________________
Signature__________________________________________________________
Date____________________________________
SLO Flyers, Inc. Term Membership Fee
The following "Term" memberships are available for AMA members
| Over 19
years old |
Under
19 years old |
| $5.00
for up to one week
$10.00 for up to two weeks
$20.00 for one month
$30 for three months |
$1.00
for up to one week
$2.00 for up to two weeks
$4.00 for one month
$6.00 for three months
|
AMA Number_____________________
Print
Name______________________________________
Sign
Name______________________________________
Verified by SLO Flyers, Inc. Member
Print
Name______________________________________
Sign
Name______________________________________
Amount Enclosed_______________________
Expiration Date_________________________
Print this form, complete and mail to:
William K. Lander, Treasurer
P.O. Box 6789
Los Osos, CA 93412-6789
|
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