CARC New Member Application – Chelsea Amateur Radio Club, WD8IEL

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