FARA Membership Application

[Firelands Amateur Repeater Association - Sandusky, Ohio 44870]

(Note: This is a LOCAL Amateur Radio Club)
We have no relationship to Fairfield Amateur Repeater Association (145.190).
Their Address is:
P O Box 40473
Cincinnati OH 45240-0473
Click Here to go to their website

As a member of FARA you will receive, full voting privileges and long-distance autopatch access through auto-dial slots. Membership is $10.00 per year for an individual and includes any licensed household member.

Print, Fill out and mail to:

FARA
Box 142
Huron OH 44839-0142

Last Name:__________________________ First Name:_________________________ MI:______

Callsign:_________________ County:________________________

Email Address:_____________________________________________________________________

Address1:__________________________________________________

Address2:__________________________________________________

City:_______________________________ State:________ Zip:_______________________

Phone (Home):_____________________________ (Work):______________________________

Check if Phone Number is unlisted - It will not be given out. Yes:_______________

License Class:______________________

Other Licensed Family Members:

Callsign:__________________ License Class:_________________ Relationship:_________________

Are You an ARRL Member: YES______ NO______ We Need to know for Special Service Club status.

ARES/RACES - Registered?____________ Interested?_____________

If operating packet, your 'HOME', full forwarding BBS:_________________________________________

Bands and Modes you operate?_________________________________________________________

__________________________________________________________________________________

Membership Fee, $10.00 per year. Amount Enclosed: $_____________________

Comments:_________________________________________________________________________________________

__________________________________________________________________________________________________

Signed___________________________________________ Date____________________________________________

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