MTARS
Membership Rev 6 2022.pdf
(Right Click to download & Print)
Rev: 6 08/11/2022
Application for MTARS Membership
OFFICE USE
Membership year: ___________; Today’s Date:________ _________
_________
Dues for membership in the Middle Tennessee Amateur _________
Radio Society are: CIRCLE MEMBERSHIP TYPE _________
(1) $20 per year for Regular (voting) members _________
(2) $20 per year for Associate _________
(non-voting or not licensed) _________
(3) $00 Free for Junior’s _________
(under age 17, non-voting members) _________
(4) $30 per year for Family living in _________
“same household only”! _________
_________
An amateur license is required ONLY for regular, _________
voting members. _________
Print and fill out this application and mail it along with a
Check in the proper amount to:
MTARS; P.O. Box 932; Tullahoma, TN 37388-0932
Last name:___________________________________________
First name:___________________________________________
Call sign:______________ Class of license:________________
Home telephone: (____)_____-_______ Cell: (____)_____-_______
E-mail address:_______________________________________
List on club web site? Yes( ) No( ) Your Pic: Yes( ) No( )
Street address:________________________________________
City: ______________________________State: ___ Zip:________
County of residence:_____________ DOB: ___________ mm/dd/yy
Type of Membership Requesting? (please check)
Regular:_____ Associate:_____ Junior:______ Family:______
Are you a member of ARRL? Yes ( ) No ( ) Life ( )
Are you an A.R.E.S member? Yes ( ) No ( )
Rev: 6 08/11/2022