Russell County Amateur Radio Club

Application For New Membership

"Promoting Amateur Radio In Russell County"

      
  1. Name: First_____________ Last ______________Middle Initial_____ Nickname_____________________
  2. Do you have a valid amateur radio license ? Yes: ___ No: ___ Callsign:______________
  3. What license class do you hold at this time:Novice__ Tech__ Tech-Plus__ General__ Advanced__ Extra__
  1. Brithday (optional) Day_____ Month________ Year______
  2. Do you have any training in emergency management, Skywarn, etc...(list)_________________________

    ______________________________________________________________________________________

    ______________________________________________________________________________________
  3. Your current mailing address: _____________________________________________________________

    City ________________ State_____ Zip____________Street Address:______________________________
  4. Telephone Number: _______________________Cell phone or pager<circle> __________________________
  5. Will you act in a clean, decent, professional manner during all club activities? Yes___ No___

  6. I agree to do my best at advancing amateur radio in Russell County and promise to abide by the
    by-laws of the club constitution...

    Signature: ________________________________________ Date signed: __________________

All applicants will be voted upon at the next meeting providing a majority of the voting membership are present.
The Russell County Amateur Radio Club does not discriminate because of race,sex,age,education,or training experience..
All applicants should be aware that club activities may include aid to local government organizations and ARES.
The club has the right to dismiss any individual without reason at any time, Dismissions will be handled by a majority vote.
Failure to pay nominal dues may result in suspension or expulsion from the club.
For full legal information or other inquiries contact the club president: Tom Hale (KF4UJB) at 540-762-5096 or kf4ujb@arrl.net
Other information about the Russell County Amateur Radio Club can be obtained at: www.qsl.net/kf4uel/rcarc.htm

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