Stu Rockafellow A.R.S. Membership
Membership Form:
YES, I would like to join the fellowship and participate in the activities of the Stu Rockafellow ARS
NAME __________________________
CALL ____________
DOB ____ / ____ / ____
ADDRESS ___________________________
CITY ____________________ STATE ____________ ZIP ____________
PHONE ____________________
LICENSE CLASS _________________________
E-MAIL ADDRESS _________________________________
| - $20.00 REGULAR MEMBERSHIP |
ARRL MEMBER? Y / N |
| - $15.00 RETIRED |
- $10.00 STUDENT (18 OR YOUNGER) |
WHAT SCHOOL? ________________________ |
| - $20.00 ASSOCIATE MEMBERSHIP (NOT LICENSED) |
CHECK OR MONEY ORDER NUMBER __________ |
YOU HAVE UNTIL MARCH 31 TO RENEW YOUR MEMBERHSHIP, WE REQUEST THAT YOU PLEASE DO SO! WE WOULD LOVE TO HAVE YOU WITH US FOR ANOTHER YEAR!
Return to SRARS, 33765 Tawas Trail Westland, MI 48185-6933 If you are a current member of S.R.A.R.S. and are joining or renewing your membership in the ARRL please see Don W8RIF, you can put some money in the kitty for the club.
Download the membership form in Adobe
Download the membership form in Word
| 
