MEMBERSHIP APPLICATION
EAST ALABAMA AMATEUR RADIO CLUB 
(January 1-December 31)

REGULAR MEMBERSHIP:             

___ NEW

___ RENEWAL     $24.00/year   

                                                        $________

FAMILY MEMBERSHIP:

I would like to enroll the following family members in the EAARC:

(EAARC dues are $12.00/year for each additional family member)

               
Name: __________________________________ Call: ______________ *Birth Date:  ________

Name: __________________________________ Call: ______________ *Birth Date:   ________

E-Mail Address: _______________________                                                                                                                                                                                                                                                      $

                                                      $ ________
PROJECTS:

I/we would like to help enhance amateur radio in East Alabama by donating to the following EAARC projects.
$________    Repeater Fund                      

$________    Digital Fund        
$________    New Repeater Fund                       

$________    Special Club Projects Fund

$________    DX Fund                                     $________    Other
                                              Total $_________

Please return this form with payment to:  

EAARC

PO BOX 1955

OPELIKA AL. 36803

ki4txi@aol.com

(*Birth Dates only need month and day)

(Please make checks payable: to  

East Alabama Amateur Radio Club or (EAARC).

Please do not send cash through the mail !!

Directions for printing application:

1. You may print the application by hitting the print command on your computer. It will print on two pages.

OR:

2. Copy the application and paste into a word document (this will allow you to edit the margins and line spacing). After you are finished editng, print your document. Depending on your editing, the new document will either be one or two pages.

OR: 

3. If you still need assistance, please contact Donnie, ki4txi@aol.com, and he can email you the document as an attachment.