| New |
Renewal |
| Call Sign |
|
| Full Name |
|
| Name used on the air |
|
Address
|
|
| City |
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| State |
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| Zip + 9 |
|
|
Please include your area code |
| Evening Phone |
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| Day Phone |
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| Cell Phone |
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| Email address |
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| License class |
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| ARRL Membership |
|
| Completed ARRL EMCOMM classes |
None
Level 1
Level 2
Level 3 |
| Completed ICS700? |
No
Yes |
| Are you an ARRL accredited VE? |
No
Yes |
Select your membership category
Membership period is the calendar year. Dues for 2008 are half price
if joining between Aug 1 to November 30
|
| Print
and mail the form with a check/money order to
NARC, P.O. BOX 135, SEAFORD, DE 19973 |
|
| Signature |
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