Name:__________________________________________________________

Address:________________________________________________________

Email:__________________________________________________________

Cell Phone:_________________________

AMA Number:_________________________

FAA Small UAS Certificate of Registration Number:_________________________

New Member: Annual Dues $25 + Initiation Fee $25 (please enclose $50)

Renewing Member: Annual Dues $25 (please enclose $25)

PLEASE PRINT THIS PAGE, COMPLETE AND MAIL WITH CHECK TO:

RCRCC C/O Tom Hill
17c Bisbee Court
Santa Fe, NM 87508