MTARS Membership Rev 3 2015.pdf
(Right Click to download & Print)

 

 

Application for MTARS Membership

                                                                                                                OFFICE USE

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: 3    01/06/2015