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Membership Application Application for new or renewal membership. You may also use this form to send us a change of address to update our database. Please submit the following information, then have your check or Money Order in US Funds payable to AMMA, sent to the following address: Pat Otto, Treasurer AMMA 10300 US Hwy 98 N, #1386 Lakeland, FL 33809-1048 Phone: 863-858-2106 New Renewal Update TYPE OF MEMBERSHIP RATE/Yr. (US FUNDS) 1) Individual Member $25 $ 2) Second Member, Same Household $10 $ 3) Member Club $25 $ TOTAL $ 1) Individual Member: Last Name, First Name, Middle Initial, Mr., Mrs., Ms., Miss 2) Second Member: Last Name, First Name, Middle Initial, Mr., Mrs., Ms., Miss 3) Member Club: Club Name, Contact, Position Address: City: State or Province: Country: Zip/Postal: E-Mail Address: Home Phone: Work Phone: Movie Club Affiliation: (if any) Club Name, Club Contact, Phone Formats Used: Film: 16mm   Super-8   Regular 8mm   Other: Video: VHS   VHS-C   S-VHS   S-VHS-C   8mm   Hi-8   Other: Camcorder? Editing? Do you do Computer Editing?   Yes   No System Used?