Membership dues are $6 per year for new members, $12 per year for
renewals..
Print and fill out application. Make check payable to "MSARC".
Mail application and check to address printed on application.
Mt. Shasta Amateur Radio
Club
APPLICATION FOR MEMBERSHIP
NAME:
NICKNAME:
CALLSIGN:
LICENSE CLASS:
CHECK ONE:
[ ]-NEW
[ ]-RENEWAL
MAILING
ADDRESS:
CITY:
STATE:
ZIP:
PHONE:
FAX:
OTHER:
(Specify):
E-MAIL:
AREAS OF
INTEREST:
Mail to:
Mt. Shasta
Amateur Radio Club
Attn: Membership 329 N. Washington Dr. Mt. Shasta, CA 96067
