Join the MTARA!

Submitted by N1FI on Mon, 10/26/2009 - 01:57

 

Please answer the questions completely below so that our records are complete and up to date. Please indicate what facets of amateur radio are of interest to you so that we can plan programs and events that are of interest to you. Also, indicate what club activities you would be willing to participate or assist the organization.

If you would prefer to download a form and mail it in with your remittance, please click here

Please enter today's date
Please enter your full name, or the name you prefer to be called.
Please enter your valid call sign. If you do not have a current call sign, please enter "NONE"
Please enter the license class you now hold. If you do not have a valid call sign, please choose "NONE".
Please enter the date of expiration on your amateur radio license. If you are not currently licensed, please leave entry as it is - today's date.
Street Address
Please insert your apartment number or any other pertinent address information.
Please enter your city.
Please enter your state
Please enter your Zip Code (+4 if known)
Please enter the telephone number where you can most easily be reached.
Please enter your email address.
Please let us know if you are a member of the ARRL.
Please let us know if you own a 4X4. This information is important in the event of an event or natural disaster that would require finding members who can go to a location safely.
Please indicate the type of membership for which you qualify. Please check all that apply.
$
Please indicate the total of the membership fees chosen
$
If you wish to make a tax deductible contribution to the MTARA, please enter the amount here.
$
Please enter the total amount you will submit (sum of your Membership and Donation, if any).
Please indicate all of the interests you have in amateur radio. This will help us design programs and find speakers for our meetings that are of interest to our members.
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