Jerry Bolkins KD8CES
2929 West River Road N
Elyria, Ohio 44035
jdj955@hotmail.com
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Name:___________________________________Call:____________ Address:_________________________________________________ City:________________________ State:_______ Zip:____________ Phone:( _____)________________ Birthdate:___________________ License Class:_____Expiration Date:_________ ARRL Member:____ Signature: ______________________________ Date:____________ ***Do not complete this section- for Membership Chairman only.*** Amount $_______Check #________ Taken By:_____ Date:________ LCARA membership is annual (Jan. 1 to Dec. 31) only. $10 per year, pro-rated at $2.50 per quarter remaining in the calendar year for new members. Additional family members at same address, $3.00 flat rate for new or renewals. Associates non-prorated $7.50/year. |