Stu Rockafellow A.R.S. Membership

Membership Form:

YES I would like to join the fellowship and participate in the activities of the Stu Rockafellow ARS

NAME ______CALL ______DOB ____/____/____
ADDRESS ______CITY ______
STATE ______ZIP ______

E-Mail Address______

O $20.00 Regular Membership / ARRL Member? Y N
O $15.00 Senior
O $10.00 Student ( 18 and younger) / What School? ______
O $20.00 Associate Membership (Not Licensed) / Check or money order No. ______

Return form to:

SRARS

33765 Tawas trail.

Westland, Michigan

48185-6933.

If you are a current member of S.R.A.R.S. and are joining or renewing your membership in the ARRL Contact Don Quarles (W8RIF) to Renew, the club will get a little kick back for the kitty.

This form can be printed from Club web page http://www.qsl.net/w8njh

Revised 01/20/2010

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ARS

33765 Tawas Trail

Westland, Michigan

48185-6933

ARS

33765 Tawas trail

Westland, Michigan

48185-6933

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