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Membership Form – Retail or Officer Use Only

Purchase Membership – Hobby Shop or Officer

This form allows Hobby Shops or Club Officers to sell WMARCC memberships. Membership submitted via this form is considered probationary until payment is received by WMARCC Treasurer.

Authorized Seller
Address *
Address
Address Line 1
Address Line 2
City
State
Zip Code
Membership Type
Including household members age 16+? (no additional charge)
Children 15 and under do not need to be recorded on membership.
Second Household Member (16+ years old)
Second Household Member (16+ years old)
First
Last
Third Household Member (16+ years old)
Third Household Member (16+ years old)
First
Last
Fourth Household Member (16+ years old)
Fourth Household Member (16+ years old)
First
Last
This membership will expire on: