DARC - Application

The Drumlins Amateur Radio Club,Ltd. invites all licensed radio amateurs, those interested in obtaining amateur licenses and those who are interested in learning more about electronics, computers, and other forms of amateur radio communications to attend our monthly meetings.
D.A.R.C. meets the third Wednesday of each month at 7:30PM in the NYSEMO, Rte 31East, Newark, NY - - - Please join us with application below.

New___ Renewal___ Call Sign_________ Class__________ 
Member ARRL:     Yes___  No___
Name: _________________________________________  
Birthday:  Month_____Day____ Year_____
Address: _______________________________________  
Home Phone: ______________________
City/Town: ______________________________________
Work phone: _______________________
State: _______________ Zip: ______________
Email: _____________________________________
Signed Release: I hereby grant permission for Drumlins Amateur Radio Club, Ltd. to use my personal information supplied herewith for the compiling of Club Records as required to verify my eligibility for said membership within DARC and further to list my name, call letters, and e-mail on their web page for use by other members. Sign your name in line below showing your choice of permission or denial.
___
GRANTED:___________________________________
NOT GRANTED:________________________________
Please completely fill out this form and answer all questions - don't assume the Club has it !

Membership Dues

____ DARC General Membership -w/emailed Newsletter - - - - - - - - - - - - - - - - -  $ 10.00 / year
____ DARC Associate Membership (not yet licensed) -w/emailed Newsletter - -$   5.00 / year
____ DARC Member at large (out of state) - w/emailed Newsletter- - - - - - - - - - - $   5.00 / year
____ DARC Family Membership (list name and calls) - w/emailed News - - - - - - $  10.00 plus
                                                                                                                           $ 1.00 each add't member
____DARC  General Membership - 
w/USPS mailed Newsletter - - - $ 15.00 /year
____DARC Associate Membership -
w/USPS mailed Newsletter - -$ 10.00 / year
____DARC Member at Large -
w/USPS mailed Newsletter - - - - - - -$ 10.00 / year 
____DARC Family Membership -
w/ USPS mailed Newsletter -         $  15.00 plus  
                                                                         one address -$1.00 each add't member    
                                       
                                                                                                  


  Please attach a copy of your FCC license if you have updated/changed classification or if this is your first application for membership with Drumlins Amateur Radio Club, Ltd.

    In completing this form  I hereby agree to abide by all rules set forth by the governing body of the Drumlins Amateur Radio Club, Ltd.
Dave Taylor, KB2KBY
 
228 West Jackson Street,                                          
 
Palmyra, NY 14522

 Make checks payable to: Drumlins A.R.C.         

  Signed:______________________________________________________________________                                                                      

 Date: _______________________________________________
 

Last Updated: Wednesday, October 15, 2008 21:32:07