CARC New Member Application

Chelsea Village
Chelsea Amateur Radio Club Membership Application/Renewal
Call: License Class Expiration Date:
ARRL Member (circle one): Yes        No
Name (last): Name (first)
Street Address
City State & Zip
Phone 1 Receives Text?    Yes        No
Phone 2 Receives Text?    Yes        No
Email
Make check payable to: Chelsea Amateur Radio Club
Mail to: Chelsea Amateur Radio Club
P. O. Box 664
Manchester, Michigan 48158
ATTN: Margaret Goodrich

Author