MEMBERSHIP APPLICATION FORM
Annual Dues: $20.00
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Name ________________________________ Call Sign:___________(License Not Required)
Street Address:__________________________________________License Class: _________
City: ______________________ State _______ ZIP __________________
Home Phone: (____) _____-_________ Work Phone: (____) _____-_________
E-mail: _______________________________________________Member ARRL? _________
Spouse Name: _________________________ Call Sign:___________(License Not Required)
Amateur Radio Interests
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| () Emergency preparedness/RACES/ARES | () I have been a Radio Club Officer |
| NEED HELP:() Code () License ()Upgrade | () I have a VE Credential |
| On-air rag-chewing: () HF () VHF/UHF | () Contesting () DXing |
| () Packet () APRS () CW () SSB () AM | () Work on TCARC Newsletter |
| () "Lowfer" Radio Experiments | () Work on TCARC Website |
| () HAMSATS () VHF/UHF DXing | QRP: () Operation () Build Kits/Homebrew |
| () Field activities (e.g., Field Day, T-hunts) | () Help with "Elmer Program" |
| Build:() Radios () MISC () Antennas | Computer:() Repair () Upgrade |
| Listening:() SWL () AM/BCB () Scanner | SPL Modes: () digital () RTTY () SSTV |
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Last Updated: December 10, 2005