Brainerd Area
Amateur Radio Club
MEMBERSHIP
APPLICATION FORM
Dues Year January 1, 2010, to December
31, 2010
ARRL Affiliated
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Brainerd Area
Amateur Radio Club |
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(Please submit one application for each person.)
Name (First, MI, Last)______________________________________________________ Call Sign: _________________
Street Address:________________________________________________________ License Class: ________________
City: ________________________________________________________ State: __________ ZIP: _________________
Phone: (__________) __________-_______________ Additional Phone: (__________) __________-_______________
Date of application: ______________________________________ Check one: New application: _____ Renewal: _____
E-mail address: ___________________________________________________________ Member ARRL? ___________
I would like to receive the BAARC'er newsletter via the Internet______ via the US mail______ (Internet saves club money)
Amateur Radio Interests: If there is a program you would like to see at an upcoming meeting, please indicate the topic
and possible presenter. _______________________________________________________________________________
___________________________________________________________________________________________________
________________________________________________________ The goal is to make Club meetings fun and informative.
Check
one: $20 Full Membership_________ $10 Additional Family Member________
$10 Student
Member__________
Note: For first-time members, pay $5 per quarter for the time remaining in
the year you join.
| Membership Dues | $ ________________ |
Make checks payable to BAARC. The club is a 501C3 non-profit organization. Contributions are tax deductible. Mail to: |
Brainerd Area Amateur Radio Club |
| Voluntary Contribution | $ ______________ | ||
| Total Enclosed | $ ______________ |
I hereby make this application for membership in the BAARC and agree to abide by the Club By-Laws.
Signature: ________________________________________________________________ Date: _____________________
Disclosure: With the data, the club can plan activities of interest to the majority of the members. This information will not be sold or given to another organization without express permission of the BAARC members. Please mail one form, along with dues, for each person who wants to be a club member.
Back to the BAARC Membership Page Back to the BAARC Main Page Last updated 11/21/2009