Fayette County Repeater Association, Inc.
Membership Application
Please print this form, fill it out, and mail it to:
Fayette County Repeater Association, Inc.
P. O. Box 3331
Peachtree City, GA 30269
Welcome to the Fayette County Repeater Association, Inc. This corporation was founded with the purpose of promoting interest in amateur radio and supporting the 145.210 repeater. Our repeater is the flagship of south metro Atlanta with coverage of almost a 50-mile radius from Fayetteville, GA. Our members support such activities as ARES, SKYWARN, the NWS, various charitable events, and classes to become amateur radio operators. We have a monthly "Eat'n Meet'n" where we get together at a local restaurant just to socialize. We welcome YOU to our Association.
If you would like to become a member, please print this page, fill it out, and mail it with a check for $25 (July-December) or $15 (January-June). Dues are for a fiscal year, July 1 through June 30.
Name:_________________________________________ Call Sign:_____________
Spouse Name:__________________________________ Call Sign:_____________
Children:_____________________________________ Call Sign:_____________
Street Address:________________________________________________________
City:_______________________ State:_________ Zip Code:_______________
Phone Number: (________)_____________________
E-mail address:________________________________________________________
Web Home Page: http://_________________________________________________
Comments/Interests:____________________________________________________
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* * * * * * * * * * * * * * BOARD USE ONLY * * * * * * * * * * * * *
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Application is for: _____Regular Membership _____Associate Membership
Dues Paid: _____Yes _____No
_____Cash _____Check (Check No.____________________)
FCRA Application.doc Created on 1/30/2004