Montreal Amateur Radio Club

 

MEMBERSHIP APPLICATION FORM
2017 / 2018

(Membership year is September 1 to August 31)

 

Last Name: First Name:
Callsign:
Address:
City: Prov:
Country: Postal code:
Home Phone:
Work phone: ext.:
E-mail:
Postage and printing of the MarcOgram represents a substantial expense for the club.
If you would prefer your Marcogram to be sent by Canada Post there is a $5.00 surcharge to cover the increased postage costs.
Single membership ($30.00)
Family membership ($35.00)
MarcOgram sent by Canada Post ($5.00)
Call or name of family members:
If you are a first time member,
who introduced you to MARC:
Are you a member of Radio Amateurs of/du Canada (RAC)? YES NO
Date: 2017-11-18