MTARS Membership Rev 6  2022.pdf
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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