Application for
TARC Membership
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Name
____________________________________________ Call ______________
Address ____________________________________________________________
City ______________________________ State ___________ Zip ______________
Home Phone _______________________ Work Phone _______________________
Date First Licensed ________________ Current License Class __________________
Current License Expiration Date __________________________________________
Has your FCC license ever been revoked? ______ ARRL Member? ______
e-mail address: _______________________________________________
Other capabilities: Emergency power? ______ Portable tower or mast? ______
Type of Membership:
____ Regular $20.00
____ Family $30.00
____ Printed Newsletter via Mail $6.00 (otherwise vie Email)
I, the undersigned, do hereby agree to abide by the Tulsa Amateur Radio Club,
Inc.,
Constitution and Bylaws, the Federal Communications Commission rules and
regulations, and
support the Tulsa Amateur Radio Club in the advancement of amateur radio and
public services.
Signature of Applicant __________________________________________________
Date ___________________________
Print and complete application, and mail it with a check
to:
Tulsa Amateur Radio Club
Membership Committee
P.O. Box 4283
Tulsa, OK 74159
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