Nashua Area Radio Club
Membership Application

Membership:		Type:		Club Badge?
				Add $3.50 for Yes

First Name:		Middle:		Last Name:
Callsign:		Class:

Address:

City:	State/Province:	Zip/Postal:
Country:

Home Phone:	() -	Home Email:
Work Phone:	() -	Work Email:
Packet address:

If ordering a badge, name as it should appear on the badge:
If blank, first name and callsign will be used.

Do you belong to the ARRL? Expiration Date (Please provide):
Family members:

Name: Callsign:

Email: Phone: () -

Name: Callsign:

Email: Phone: () -

Name: Callsign:

Email: Phone: () -

Make checks, payable in US funds, to: The Nashua Area Radio Club
Mail check and application to:

The Nashua Area Radio Club
P.O. Box 248
Nashua, NH 03061

In submitting this application, I hereby apply for membership in the Nashua Area Radio Club, and agree to abide by its constitution and by-laws.

Last Modified: 14 June 1998
Report problems with this page to: Jim Heedles, WW1Y

Name:	Callsign:
Email:	Phone:	() -
Name:	Callsign:
Email:	Phone:	() -
Name:	Callsign:
Email:	Phone:	() -

Nashua Area Radio ClubMembership Application

Nashua Area Radio Club
Membership Application