Penn-Del Amateur Radio Club
Penn-Del ARC
hfrantz@comcast.net
2010 Membership Form
Please print, fill out and mail this form with your check
Name _______________________________ Date of Birth ____________
Address _____________________________________________________
_____________________________________________________________
E-Mail Address_______________________________________________
Phone (home) ____________________ (work) ______________________
Callsign _________________ Class of License
______________________
A.R.R.L. Member [ ] Yes [ ] NO
Thank you for your interest in our club. Our 2010 dues are are the same as last year @ $5.00 per month, per member, payable annually (60.00).
We hope you will decide to support club financially but by participation whenever possible
Mail this form & your
check to:
Penn-Del ARC
2625 Central Ave