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Membership Form Santa Fe Amateur Radio Club (SFARC) |
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| I am a new SFARC Member Yes ______ No ______ |
(If you would like to receive a receipt indicating the amount that you paid please check here )
Primary Member Name / Callsign ____________________________
ARRL MEMBER?: _____
Mailing Address___________________________________________
City State Zip _____________________________________________
Telephone (___) - ________*E-mail Address ___________________
Status: (Please check the appropriate space
to the right)
| Single___($25) | Student ___($15) | Family ___ ($35) |
Family Member Name(s) / Callsign(s) for Family Memberships:
(1)_______________________________________________________________ARRL MEMBER?: _____
(2)_______________________________________________________________ARRL MEMBER?: _____
(3)_______________________________________________________________ARRL MEMBER?: _____
(4)_______________________________________________________________ARRL MEMBER?: _____
(5)_______________________________________________________________ARRL MEMBER?: _____
(6)_______________________________________________________________ARRL MEMBER?: _____
Are you or a member of your family a Volunteer Examiner (VE)?
Yes ____ No ____ And if so, what is your VEC (ARRL, W5YI...) ____________
Would you like to know how to become a VE? Yes _____ No ______
Are you interested in helping with any of the following:
| Field Day_________ | Special Events_______ | Social Events _______ |
| Public Service _______ | Other _____ Describe:____________________________________________ |
Comments / Suggestions:
_____________________________________________________
_____________________________________________________
_____________________________________________________
*In order to save the cost of Postage the SFARC will e-mail the Club Newletter; however, if you would like to receive the Club Newsletter via the Postal Mail please check here _____. We will accommodate your request.
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Annual dues are $25 for Single, $15 for Student, or $35 for Family. Please complete the form and mail to the club address listed at the top of this form or give to a club officer. Thank you for supporting your Santa Fe Amateur Radio Club. This Club supports the various repeaters located on Tesuque Peak, Elk Mountain and at the St. Vincents Hospital in Santa Fe, NM. The SFARC also meets at the Pantry Restaurant in Santa Fe at 5th Street and Cerrillos for Breakfast every Saturday Morning at about 7:00 AM - feel free to join us. |