Penn-Del Amateur Radio Club
Penn-Del ARC C/O High Tech Services
302-793-1080 Phone
Application for Membership
It's easy to join and we'll really appreciate your
support and participation, just print this form, fill it out and
send it in with your check.
Date of Application ______________
Name _______________________________ Date of Birth ____________
Address _____________________________________________________
_____________________________________________________________
E-Mail Address_______________________________________________
Phone (home) ____________________ (work) ______________________
Callsign _________________ Class of License
______________________
Please list any other club(s) to which you are or have been a member :
____________________________________________________________
____________________________________________________________
Year in which you were first licensed _____________
A.R.R.L. Member [ ] Yes [ ] NO
Thank you for your interest and application to our club. Our 2008 dues are $5.00 per month, per member payable annually (60.00). Partial year memberships are prorated at 5.00 per month thru December. All memberships expire December 31st of each year and are subject to renewal.
Mail this form & your
check to:
Penn-Del ARC C/O High Tech
Services
950 Ridge Road, Suite C-27