November 2011 - Saskatoon Amateur Radio Club - DynDNS

MEMBERSHIP APPLICATION/RENEWALSASKATOON AMATEUR RADIO Club inc.c/o Alvin Buckwold School715 East Drive, Saskatoon, SK S7J 2X8NAMEMembership valid from September 1, 2011 to August 31, 2012CALL SIGN ADDRESS CITY SK POSTAL CODETELEPHONE (Home) ___________________ (Business or Cell) __________________E-mail address: Same as last year or print new email address below(print clearly)for FEEDLINE emailWould you like to add $15 for your membership of SARL? ______________LICENCE: (Please check) Basic Advanced Code HFOccupation (optional) ______________________________Name of spouse (optional) _____________________________Family Members (for Family Membership Application)1. NAME ___________________________________________________ CALL SIGN __________________Basic ____ Advanced ____ Code ____ HF ____2. NAME ___________________________________________________ CALL SIGN __________________Basic ____ Advanced ____ Code ____ HF ____WHICH CLUB ACTIVITIES CAN WE COUNT ON YOU FOR?Special event or area of interest to you___________________________________________________________________________Affiliation (Provide membership number where applicable)ARRL ________ RAC ________ SARL ________ MARS ________ OTHER _______MEMBERSHIP FEESRegular Membership" " " " " " " $25.00(must be licensed to operate an amateur station)!Family Membership" " " " " " " " $30.00(One newsletter per family)! ! ! ! !Associate Membership" " " " " " " $25.00(Enthusiasts – not eligible for office)!! ! !Junior Membership (under 18 years)! ! ! ! ! $12.50(Full privileges if licensed to operate a station)!SARL Membership" " " " " " " " $15.00DonationDevelopment, maintaining or upgrading facilities (specify)! $ !! ! ! " "" " " " " " " TOTAL REMITTED $Cheques payable to Saskatoon Amateur Radio Club Inc.