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HELLGATE
AMATEUR RADIO CLUB |
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PO Box 3811 |
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Missoula, MT 59806-3811 |
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Membership Application |
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| Call Sign |
Name |
Street Address |
City |
State |
Zip |
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Optional Items in Blue |
Phone No. |
Email Address |
Birth Date |
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List Additional Family Members
Wishing to Join @ $5.00 each |
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| Additional
Information |
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ARRL Member? |
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This helps us in part qualify as an
ARRL Special Service Club |
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| Help us save - If you
have internet access, |
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| will
you accept viewing of the monthly newsletter, |
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Hellgate STATIC, online? |
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| May we
list your call and/or other member information on the |
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Hellgate ARC
membership website? |
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| DUES |
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| New
member dues are $2 / month + $1 from date of application. |
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| Renewals
are $25 / Year |
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| Additional
Family Members are $5 / Year |
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