Holly Cloud Hoppers

HOLLY CLOUD HOPPERS

AMA Charter Club #3117


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▸NOT A MEMBER? - JOIN US!◂


PREFER PAPER? - Click Here to go to a pdf Form for Printing Out and Mailing


OR

COMPLETE THE FOLLOWING TO SUBMIT AN ONLINE APPLICATION:
ITEMS MARKED WITH * MUST BE ENTERED



* First Name: 

* Last Name:  


Spouse or Significant Other:

First Name: 

Last Name:    


* Address:    

* City:  

* State:  

* Zip Code:    


Home Phone:          Cell Phone:    



* Note that you must have an AMA Number to fly at our field. Enter your AMA Number below or select the appropriate entry.
If you do not yet have one, your flying privileges will be on hold until you provide your AMA Number



         
Select to indicate AMA Number Entered Above
None
None, but applying for Associate Membership



Date of Birth:   




* Parents Names are required for Junior Member Application Only




* Email:  



*Dues:
  We have four annual dues options, please select the appropriate dues.
See below for description of types of memberships.

   $50.00   Full Member -
  $60.00   Family Membership -
   $17.50   Junior Member -
   $17.50   Associate Member -



     Full Member - Most members fit in this category
     Family Membership - Includes children under 19 yrs of age and/or spouse
     Junior Member - A member under 19 yrs of age and not part of a Family Membership
     Associate Member - AMA not required, but no flying priveliges



If you are applying for a family membership, enter other family members here.




Now click on the VERIFY button below to go to the Verification & Final Payment page.




Alternatively, you can clear the entire form by choosing the button below: