Santa Clara County Amateur Radio Association      Membership  Form  for  2008

(If renewing and none of your information has changed, name and call only)

Name: ________________________________________  Call: __________   Class: E  A  G  T+  T  N


Address: ____________________________________________________________


City: ___________________________________________  State: ____  Zip:_________-______


Licensed since (yr): _______          Licence Expiration Date (mo/yr): ______

Telephone: ______________________              ___  New Member    ___  Renewal

 ___ I'm also a member of the ARRL

E-mail: ________________________________________________________

Annual membership dues are payable at the first of the year and expire the following
December 31.  New members joining on or after July 1, pay half the membership dues.

Annual Membership dues:    ___ $20 Individual      ___ $25 Family     ___ $10 Student (under 18)
For family memberships (at the same address), use a separate form for each family member.

I want the newsletter by:  ___ U.S. Mail   ___ internet  <www.qsl.net/sccara>

Give completed form and payment to the Secretary or Treasurer at any meeting or mail to:
  SCCARA
  PO Box 6
  San Jose  CA  95103-0006