03/09/08

2008

TARS MEMBERSHIP APPLICATION

The form below is also available in PDF format via this link: TARS Membership Application

To join the Tri-State Amateur Radio Society simply fill out the form below and mail along with payment for the dues to: TARS, P O BOX 4521, EVANSVILLE, IN 47724

Name _____________________________ Call _____________ License Class________________

Address______________________________________________ Telephone___________________

City _________________________________ State ___________ ZIP_____________

E-mail address _________________________________________   Birthday mo:____ day: _____
How long have you been a ham? _____________________ Are you an ARRL member?______

What is your occupation? _________________________________________________________

Do you have any portable or emergency equipment? HF ____ 2Meter ____ 440 MHz ____
Batteries____ Generator ____ Antennas ____ ATV ____ Packet ____ Other ____________
_________________________________________________________________________________

List Nets that you frequently check into________________________________________________

What is your favorite type of amateur activity__________________________________________
___________________________________________________________________________________

What type of programs would you like to see at TARS meetings? __________________________
_________________________________________________________________________________