TRARC Membership/Renewal Application
NAME	CALL	CLASS	BIRTHDAY	ARRL	VE
1 ..............................................	........................	N T T+ G A E	Mo ( ) Day ( )	Y N	Y N
2 ..............................................	........................	N T T+ G A E	Mo ( ) Day ( )	Y N	Y N
3 ..............................................	........................	N T T+ G A E	Mo ( ) Day ( )	Y N	Y N
4 ..............................................	........................	N T T+ G A E	Mo ( ) Day ( )	Y N	Y N
5 ..............................................	........................	N T T+ G A E	Mo ( ) Day ( )	Y N	Y N
6 ..............................................	........................	N T T+ G A E	Mo ( ) Day ( )	Y N	Y N

Address......................................... City .................................. State ........... Zip Code ....................

Membership Type
[ ] Family	$30	E-Mail Address ________________________
[ ] Regular	$25
[ ] Digital User	$10	Mail this form to: TRARC
[ ] Under 16	$10	PO Box 1854
[ ] Over 65	$10	Dickinson ND 58601-1854
[ ] News Letter only	$8

.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.*.

NOTE: The information collected on this form will not be given out. It is only used to maintain a database

of information for all club members. If you do not feel comfortable giving out this information, you are not

required to do so.