Membership Renewal Membership RenewalBeaumont Radio Control Clubhereafter referred to as BRCCAMA AffiliatedThis form can be used to renew your membership in the Beaumont Radio Control Club. We are requiring you to update your emergency contact information and we of course need your name and email for processing your renewal. All other fields are optional. They are provided in case something has changed. Name:* First Last Address: Street AddressCityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState / Province / RegionPostal / Zip CodeE-mail:*Email may be shared with other BRCC members:*YesNoDate of Birth:Phone 1: Area Code - Phone Number Phone 2 : Area Code - Phone Number AMA Number: Emergency Contact:* First Last Emergency Phone:* Area Code - Phone Number This form and the pay structure contained within is for renewals only. If you wish to join the BRCC, please use the New Membership Application form.The amount listed includes an online convenience charge that is equal to the fee charged by PayPal per transaction.Membership Dues:$155.00 - Standard Membership (12 months) $78.00- Std Membership (1st or 2nd payment) $83.00 - Senior Membership (Age 65 & over, Annual) $11.00- Junior Membership (Age 17 & under, Annual)Remaining dependent family members over the age of 17 and living with you.$15.74 - Family OptionTotal:I hereby agree to comply with the current AMA Safety Rules and the BRCC Field Rules as well as any future revisions thereof for all model aircraft operations. I understand that failure to comply with these safety rules will result in failure of liability coverage for any damages or claims so caused. I am aware that operation of radio controlled model aircraft may present hazards and I exempt and relive the BRCC from all liability for personal injury or wrongful death caused by my negligence. I understand that current membership in the Academy of Model Aeronautics is a prerequisite to membership in the BRCC. I understand that membership in the BRCC entails an obligation to support club events and participate in work parties.SubmitReset