ENTRY FORM 2016 SAM CHAMPS at Muncie Indiana SEPTEMBER 25 TO SEPTEMBER 30, 2016 AMA SANCTIONED

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ENTRY FORM 2016 SAM CHAMPS at Muncie Indiana SEPTEMBER 25 TO SEPTEMBER 30, 2016 AMA SANCTIONED Registrar s Information Box Entrant NO. Entry Fees: $30.00 for first event; $10.00 for each additional event; $70.00 maximum Entries postmarked no later than 5 th September, 2016 are eligible for SAM drawing (at Banquet) Changes to entries after 5 th September are subject to a $25 late fee. Full entry fee refund for cancellations or no-shows Full refund for Reception, Tuesday Social and Banquet if cancelled prior to 5 September U.S. and Foreign entries must be accompanied by proof of AMA, MAAC Foreign entries (except for MAAC members) will require affiliate membership in AMA ($28.00) for insurance purposes prior to start of competition. Number of events entered Total entry Fee: Foreign Entry Affiliate Membership Fee (not applicable for AMA or MAAC members) $28.00 President s Reception Tickets @ $10.00 each Tuesday Social/ Pizza and drinks (tickets for food and drinks)* Tickets @ $12.00 each SAM Swap Meet Tables @ $20.00 Banquet Tickets @ $35.00 each Pocket T Shirt Small Med Lge Xlge XXlg @ $12.00 each Pocket Golf Shirt Small Med Lge Xlge XXlg @ $20.00 each Ball Caps @ $8.00 each Engine Raffle Tickets; $3 each, 4 tickets for $10, 12 tickets for $25 Number (Please Check Your Addition) TOTAL Indicate interest in renting a golf cart for about $250 per week and we will contact you. All Fees Are In U.S Dollars. Make Your Check or Money Order Payable to SAM (no Credit Cards) *Social is an open get together bring your own food or buy a ticket for Pizza and drink Fill out the complete entry form with event listing, wing areas, model names, engines, frequencies and other data. If flying on 50 MHz or 53 MHz frequencies, include copy of FCC license. Mail the signed entry form with copies of your AMA or MAAC membership card to: Tina Kime 112 Morris Ave., Woodlyn, Pa, 19094 610-833-5256 tinakime@yahoo.com Name AMA No. SAM No. SAM Chapter Address City, State, ZIP I agree that my models will have been tested and will qualify to be flown in the presence of others. I agree to report to the CD before leaving the field any accident I am involved in or may witness. I agree to abide by the AMA Flight Safety Declaration and any and all special field rules imposed at this contest. I certify that all models entered in the Championship events comply with the 2015 SAM Rule Book. Entrant Signature Parent/Guardian Signature if entrant is under 21 Phone; Home / Cell / email Banquet Spouse/Guest Names 1

Sunday Sept 25th 4:00 to6:00 pm 2016 SAM CHAMPS SCHEDULE WHEN WHAT WHERE Registration, Contestant Pack Pickup 6:00 to 7:30 pm President s Reception Monday 26th McCullough Room at the AMA Museum 8:00 pm to 9:30 pm Tuesday 27th Board Meeting. Members Free Evening Super 8 7:00 pm to 8:30 pm Museum 7pm till 8pm Wednesday 28th Pizza Social and Museum McCullough Room and the AMA Museum 6:30 pm to 8:00 pm Swap Meet, SAM Concours Event* and Engine Raffle Drawing McCulough Room 8:00 pm to 8:30 pm Membership Meeting Thursday 29th Friday 30th Members Free Evening 8:00 am to 4:00 pm Flying Events AMA Flying Site 7:00 pm to 9:00 pm Awards Banquet/Cash Bar Delaware Country Club * Spirit of SAM Concours will held be in four categories: Free Flight Power, Free Flight Rubber, Radio Control and Miss Seldom Seen. There will also be an award for Best in Show. HQ Motel Super 8 3601 W Fox Ridge Lane, Muncie, IN 47304 (765) 286-4333 Ask for SAM rates For other Muncie Hotels ask for the AMA Rate 2014 SAM Champs Manager Dave Harding 4948 Jefferson Drive Brookhaven, Pa, 19015 610-872-1457 610-800-6012 cell dhaerotech@comcast.net Concours and Engine Raffle Chuck Kime 112 Morris Avenue, Woodlyn, Pa, 19094 (610) 833-5256 chuxtruk@yahoo.com RC Contest Directors Mike Salvador 75 Lafeyette Avenue Milltown, NJ 08850 (732) 246-7940 sam3113ec@gmail.com Glen Poole Jr. 487 Kelly Ave. Yorkville, IL 60560 (630) 553-7448 gjpoolesr@prodigy.net Free Flight Contest Directors Hal Wightman 509 Portsmouth Court Doylestown, PA 18901 (267) 905-2508 hal_judith@prodigy.net George Walter 2412 Deerpark Dr. Fullerton, CA 92835 (714) 528-0774 (562) 217-9394 cell georgewalter@alumni.pitt.edu 2

2016 SAM CHAMPS EVENT LISTING - FREE FLIGHT Contestant Name No. Champ EVENT MODEL Monday ENGINE Make and size WING AREA NosG Ex. Class B Fuselage Class C Pylon Large Rubber Stick Small Rubber Fuselage.020 Replica Class B/C Nos Tomboy (Fly Mon - Fri) Tuesday Class A Fuselage Class B Pylon Small Rubber Stick Commercial Rubber Class A Nos Wednesday Nos R Nos G Class C Fuselage Class A Pylon Large Rubber Fuselage 4 oz Wakefield Large Nos Rubber 1/4 A Nostalgia Thursday Nos R Nos G Glider 30 Second Antique 8 oz Wakefield Small Nos Rubber 1/2 A Nos Twin Pusher Mass Launch OT Hand Launched Glider OT Catapult Glider Friday Old Ruler & Pre '51 Combined Jimme Allen OT towline Rubber Flying Scale 3

4

2016 SAM CHAMPS EVENT LISTING - RADIO CONTROL Contestant Name No. Champ EVENT MODEL ENGINE WING AREA Monday 26th Antique Pure Antique 1/2 A Texaco Electric Electric LMR O&R Sideport Tuesday 27th A LER C Ignition LER Brown Jr. Texaco (Note 3) A Texaco Electric Electric Texaco Wednesday 28th B LER A Ignition LER Texaco Texaco Ignition Electric Speed 400 Electric (Note 4) Electric Replica Thursday 29th C LER B Ignition LER Brown Jr. LER (Note 3) 1/2 A Scale Old Time Gliders Electric Electric Wakefield Friday 30th Classic Texaco Ohlsson 23 Nostalgia LER S&L Combined Foxacoy Speed 400 Scale Duration (4,5) Electric SoS Electric CHAN (Note 2) Concours (Note 1) Please fill out this form COMPLETELY with MODEL name, ENGINE or MOTOR, WING AREA and RADIO CHANNEL. If not sure, give us your best guess and we can change later. 5

SAM CHAMPS 2016 RADIO CONTROL RULES And related information General Rules: All models and flights shall be in accordance with the latest AMA and 2015 SAM rules unless otherwise stated. All pertinent AMA Safety Rules covering the model, modeler and support equipment shall be in effect. All models except scale models must bear the entrants identification tag and AMA number. The Texaco Championship trophy will be awarded for the one highest Texaco time recorded in Texaco and Texaco Ignition. Notes: 1. RC Concours: Any model entered in the Concours events must make one qualifying official flight, certified by a witness during the Champs. 2. Frequency: Include the channel planned to be flown if flying on 72 mhz. If flying on 2.4 ghz, so note in the column for channel. For those flying on the ham bands, include frequency information and a copy of your ham license attached to the entry form. 3. Brown Jr. LER and Texaco; Any un-scaled Antique model is allowed. This includes Antique pylon models. We will waive the minimum wing span rule and allow the same model to be flown in both Texaco and LER. 4. Speed 400: The Speed 400 event will be flown in accordance with the SAM 2015 Rules With the addition that motor runs will also be 120 seconds and 10 min max. 5. Speed 400 Scale: The rules are: A. Model shall be a replica of a reciprocating engine powered, man carrying airplane of pre-1950 vintage. Powered sailplanes are not acceptable. B. Although models are not judged for scale, a reasonable effort should be made to simulate realistic coloring and markings. Model to be balsa/plywood construction. Foam may be used for detail only. A plan or 3 view may be needed for confirmation. C. There is a 16 oz. minimum weight requirement. There is no wing loading specification. D. Thrust will be provided by a non-folding, non-metal propeller of any size driven directly (i.e., no reduction drives) by a Graupner Speed 400 6-volt or a Maxx Products Promax Speed 400 6.0v part # ACC341 permanent magnet ferrite motor without ball bearings. After purchase, motor timing adjustments are allowed. To prevent damage to the motor, folding propellers may be used provided they are locked in the fixed position for normal flight. E. The battery may be six NiCad cells or six NiMh cells, or two Lithium chemistry cells of any capacity with manufacturer s label clearly visible. F. The power to the motor must be radio controlled but may be on/off or ESC. G. Flights may be hand launched with the landing area determined by field rules. H. The motor may be run only during the first 120 seconds of the flight. Any running of the motor afterwards results in a zero score for that flight. This time may be changed at the discretion of the CD. I. The model s score is the sum of the best two of three flights (10 minute max). In the event of more than one competitor achieving two maximum flights, at the CD s discretion, the winner may be determined by a flyoff. 6. FAA Requirements. RC flyers are reminded that as of the date of this form the FAA require the flyer of any RC model over; 0.55 lb or 8.8 oz must be registered. Neither the AMA, SAM nor the Champs management will check if you have registered and we hope this issue will not impede our conduct of an enjoyable Champs. 6