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| NAME: | CALL SIGN: | |
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| CITY: | STATE: | ZIP: |
| PHONE: | CLASS OF LICENSE: |
AMOUNT ENCLOSED: $ |
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Membership Fees: MEMBERSHIP IS $20.00 REGULAR $25.00 FAMILY **LIST CALL SIGN OF ALL INDIVIDUALS** * All must reside in same household $10.00 STUDENT (UNDER 18 YEARS OR AGE) *** Are you an ARRL member? YES / NO |
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| Please enter your e-mail address (if applicable): | ||
| What bands do you use? | ||
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What contests or activities are you interested in participating in, or having
the club participate in? | ||
Mail to:
Lancaster Radio Transmitting Society, Inc.
c/o Jeff Ishler
1375 E Main St
Mount Joy, PA 17552