MARC Member Application Form Print, Complete & Mail with Money!!
< MARC "Quick Clicks":  Home | News | Tech Center | Max Viewing >
 
Name_________________________ Callsign_____________ Class______________
Name_________________________ Callsign_____________ Class______________
Name_________________________ Callsign_____________ Class______________
Address________________________________________________________________
City, State/Province___________________________________________________
Country, Zip/Postal Code_______________________________________________
Phone Number___________________________________________________________
E-Mail Address_________________________________________________________
Make of Motorcycle_____________________________________________________
Make of Ham Radio on Motorcycle________________________________________
Do you have HF capabilities (mobile or base)?__________________________
How did you first hear about MARC?_____________________________________
_______________________________________________________________________
Please Circle One: 
Yes / No  Is this a NEW donation application?  [NO indicates renewal.]
Yes / No  Do you have a C.B. Radio on your M/C?  
Yes / No  Do you want your address on the Club Roster? 
Yes / No  Do you want your phone number on the Club Roster? 
Yes / No  Do you want your E-Mail Address on the Club Roster? 
Web / Mail  Do you want to receive the newsletter via the web or mail?
Membership dues are $12 USA, $12 Canada (USD), $15 for all other countries per year per household. - Our year is from January to January.  Membership dues are $1 per month after March for the balance of the year unless you want the back issues for that year then a full $12 (or appropriate for the country)  You may pay for more than one year if you care to do so.

All Membership applications are subject to review /  approval by the MARC Board of Directors.

Please send completed application form and check/cheque (U.S. Funds Only) made out to "M.A.R.C".


Send to MARC c/o Bonnie Davis, 
3 Lindberg, Irvine, CA  92620-3367 
kd6ofqboni@gmail.com
Home 949 551-1036  |  Cell 949 300-4441 

 

 

 [ All membership applications are subject to review/approval by the MARC Board of Directors ] 
Page:  [ member-application ] 09 Feb 2015 08:57

 Copyright 1997-2011 | Org-Short .  All Rights Reserved.   Thanks for Visiting!! 
 Web Site Created & Managed by KF6TXI & KD6FHN