Twin State Radio Club, Inc. - W1FN
Serving the Upper Valley Area

Membership Application

Print this form - then mail to the address below.
The Twin State Radio Club is affiliated with the ARRL. The Club membership is presently about 60 and increasing. Club activities include HF, VHF, UHF, contesting, DXing, public service and having a good time with the hobby. We meet every 2nd Saturday at different locations.

For more information on meetings and other club activities check our web site at http://www.w1fn.org, or call our President, KX1Y (William) @ (603) 359-3745 or Email at william@will-do.com. You may also contact us at: Twin State Radio Club Inc., PO Box 5078, Hanover, NH 03755



CALL __________   CLASS LICENSE ____________

NAME _________________________________ SPOUSE _________________________________  

ADDRESS _______________________________________________________________________

CITY ______________________________________ STATE ______ ZIP __________________              

HOME PHONE _____________ WORK PHONE ____________EXT______ FAX # _______________

E-MAIL _______________________________    PACKET ________________________________

MEMBERSHIP IN:     ARRL: YES/NO  RENEWAL DATE:__________

                   ARES: YES/NO     RACES: YES/NO     SKYWARN: YES/NO

PRIMARY INTEREST IN AMATEUR RADIO:

_______________________________________________________________________________

_______________________________________________________________________________

___ VOTING MEMBER          $20.00         RETURN TO;
___ JR VOTING MEMBER       $10.00         SECRETARY
___ VOTING FAMILY RATE      $5.00         TWIN STATE RADIO CLUB INC.
___ ASSOCIATE MEMBER       $10.00         PO BOX 5078
___ ASSOCIATE FAMILY RATE   $2.50         HANOVER, NH 03755


VOTING MEMBERS shall be those Licensed Amateurs whose dues are paid in full, and who plan to attend meetings on a regular basis in order to vote on the regular conduct of Club business.

JUNIOR VOTING MEMBERS shall be those Licensed Amateurs under the age of 18 whose dues are paid in full, and who plan to attend meetings on a regular basis in order to vote on the regular conduct of Club business.

ASSOCIATE MEMBERS may be licensed or non-licensed persons whose dues are paid in full, and who wish to support and participate in the activities of the Club, but who either cannot or do not wish to attend regular meetings, or do not currently hold a valid Amateur License.

FAMILY RATES shall be available as follows The first Member shall pay full rate, and each additional Member shall pay 25% of the first Member's rate. If any member of the family is a Voting Member, that Member shall be the first Member for the purpose of computing the Family Rate. All additional family members will have the same membership privileges as the first member.


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