Home Phone: _____________________________________ D.O.B. _______________
Cell Phone: ___________________________Work Phone:_______________________
E-mail Address: _________________________ ______________________
ARRL Member? Yes No
Additional Family Member Names & Calls: ___________________________________
_______________________________________________________________________
1 Year @ $15.00 = ................................................................ $__15.00_
______ Additional Years @ $10.00/yr = ............................. $________
_____ Family Members @ $3.00/yr x _____ Years = ........ $________
Total Amount Due =......... $________
Dues are $15.00 per calendar year. Additional years are $10.00/yr with 1st full year dues payment. After June 30 dues are at ½ the regular rate. Dues paid in November and December include the next year. Additional family members at the same address are eligible for membership for an additional $3.00/yr.
Mail to: M.A.R.C., P.O. Box 4401, Midland, Texas 79704
