Membership dues are $12 per year.
Print and fill out application. Make check payable to "MSARC".
Mail application and check to address printed on application.
Mt. Shasta Amateur Radio
Club
APPLICATION FOR MEMBERSHIP
NAME:
NICKNAME:
CALLSIGN:
LICENSE CLASS:
CHECK ONE:
[ ]-NEW
[ ]-RENEWAL
MAILING
ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX:
OTHER:
(Specify):
E-MAIL:
AREAS OF
INTEREST:
Mail to:
Mt. Shasta
Amateur Radio Club
Attn: Membership 329 N. Washington Dr. Mt. Shasta, CA 96067
