NANTICOKE  AMATEUR RADIO CLUB, INC.  - 2010
Membership application
 

New

Renewal

Call Sign

Full Name

Name used on the air

Address
 

City

State

Zip + 9

Please include your area code

Evening Phone

Day Phone

Cell Phone

Email address

License class

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 2009 are half price if joining between Aug 1 to November 30

Regular mbr

$ 20

Student mbr

 Full time student under 23 years of age.

$ 10

Senior member

 Are you age 65?

$ 10

Family member

 Regular member you live with

$ 5

Print and mail the form with a check/money order to NARC, P.O. BOX 135, SEAFORD, DE 19973

Signature

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