WE NEED YOU TO:

Submit in enclosed envelope 

  1. Information to be used to compile the new club roster.

  2. Submit a check for the appropriate amount of dues to support the work of the club and repeater.

             cut________________________________cut_________________________cut________________cut__________________

 

1.  Name  Last  ________________________                             2.  DUES  Standard       $20_________

                

                First_________________________                                               

   

Street  ______________________________________                  Student or out of area  $10_________

                                                                                         50 Miles from repeater site.

City state zip_________________________________                   Payable to SARA

   

Phone   H ______________________W____________________

  

 E-mail_______________________________________    (do not block )

   

 Call___________    License class________                                                                                                                                                

Stamford Amateur Radio Association

c/o Ernest Laug 

33 Vincent Ave

Stamford, CT. 06905

 

 cut________________________________cut_________________________cut________________cut__________________