MTARS Membership Rev 2 2014.pdf
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Application for MTARS Membership

 

Membership year: ___________; Today’s Date:_____________

 

Dues for membership in the Middle Tennessee Amateur Radio Society are:

 

(1) $20 per year for Regular (voting) members

(2) $20 per year for Associate (non-voting or not licensed)                                                                                                  

(3) Free for Junior (under age 17, non-voting members)

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:_______________________________________

 

Street address:________________________________________

 

City: ______________________________State: ___ Zip:________

 

County of residence:_____________DOB:___________mm/dd/yy

 

Type of Membership Requesting? (please check)

 

Regular:_____  Associate:_____  Junior:______

 

Are you a member of ARRL? Yes (   ) No (   )  Life (   )

 

 

 

Rev: 2    01/31/2014