Application for MTARS Membership

Membership year: _______________ 

Dues for membership in the Middle Tennessee Amateur Radio Society are: 

(1) $20 per year for Regular (voting) members

(2) $20 per year for Associate (non-voting) members

(3) Free for Honorary (non-voting) members

(4) Free for Junior (under age 17, non-voting members)

An amateur license is required ONLY for regular, voting members. 

Print and fill out this application and mail it along with a

Check in the proper amount to: 

MTARS

P.O. Box 932

Tullahoma, TN 37388-0932 

Last name:___________________________________________ 

First name:___________________________________________ 

Call sign:______________Class of license:________________ 

Home telephone: (___)___-______ 

E-mail address :_______________________________________ 

Street address:________________________________________ 

City ______________________________State ___ Zip________ 

County of residence:_____________DOB:___________mm/dd/yy 

Type of Membership Requesting? (please check) 

Regular:_____ Honorary:____ Associate:____ Junior:______ 

Are you a member of ARRL? Yes ( ) No ( ) Life ( ) 

Today's Date: _________________