02/07/2025 / George / Uncategorized / Leave a Comment Application to Join LMAC New Member Application Form "*" indicates required fields Flying model aircraft involves inherent risks that may result in injury (or even death). The Launceston Model Aero Club Inc. cannot provide a totally risk-free environment. If this is unacceptable then please do not lodge this application.Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Date of birth* DD slash MM slash YYYY Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Enter Email Confirm Email Mobile Number*To assist with club day notifications, please advise your mobile number.Home PhonePrivacy*What information are you willing to disclose to other members via the membership list? All of the below Address Email address Mobile phone number Home phone number Nothing other than my name Do you currently hold any Wing Status?* Yes No Select your current Wing Status(s)*Tick boxes for ratings held. If an instructor, ticking the box will indicate your willingness to instruct and will be placed on a notification list. Instructor - Fixed Wing Instructor - Helicopter Gold (P) Gold (G) Gold (H) Silver (P) Silver (G) Silver (H) Bronze (P) Bronze (G) Bronze (H) None Instructor AvailabilityIf you are a competent flyer, are willing to provide basic help to new members? This is so new flyers can get some basic training. Knowing who is willing to help, assists in directing new members to those that are comfortable assisting. No obligation of course. Yes I am available to assist if asked. Radio Mode*Enter your primary radio mode.Mode 1Mode 2Mode 3Mode 4Not SureRadio Frequencies Used*Enter what radio frequencies you are likely to use at our field. None (Social) 2.4gHz 36mHz 36mHz ChannelsIf 36mHz, enter channels usedMAAA AUS number (0 if social or new to the hobby)*LMAC Fees*Junior if Under 18 Associate if a current financial member of another MAAA affiliated club and willing to join as a full member next financial year. Joining Fee $10 (Except Junior and Social) Senior $180 Associate $85 Junior $0 (subsidised) Social $20 Senior includes $95 for MAAA/TMAA fees, insurance etc. (Junior is subsidised) Joining fee is required on initial application or when membership has lapsed for more than one year. Associate members have certain restrictions until they become full members (refer By-Law 7c)Payment Options (Direct deposit preferred)* Direct Deposit (LMAC CBA 067-003 A/C 28022729) By post or in person Receipt Date*If paying by EFT, enter date deposit made.DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Declaration & Obligation as a Financial MemberConsent*By submitting this application, I understand that my membership will be probationary for six calendar months from the date my application is approved. I agree to appraise myself of, and abide by, CASA, MAAA and LMAC rules. I acknowledge that my application is subject to approval by the committee of LMAC and that in the event of my application not being approved, no reason will be given. I agree to the conditions set out in this application and I understand the risks involved in flying model aircraft.CAPTCHAEmailThis field is for validation purposes and should be left unchanged. Δ Post Views: 41
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