OARC Membership Renewal and/or Application

Orlando Amateur Radio Club

P.O. Box 3262

Orlando, Fla. 32802

Make checks payable to:

         Orlando Amateur Radio Club

To have your membership card mailed to you,

please include a SASE with your check.

Date: ____/___/200__

Name: _________________________________Call: _____________ Class: __________

Address:_________________________________ City: ______________ State:_____Zip:________

E-Mail Address: (print) ____________________________________ Birth Month: _______

Nick Name: (print)_____________________________Phone:__________________

Rates: [ ] 1year - $15    [  ] 3 years - $40        [  ] 6 years- $75                                             DUES TOTAL_____________

     [  ] Individual   [  ] Family (list additional calls)          [  ] Associate

         __________    __________    __________    __________

All Memberships will expire on Dee. 31.

Other Club Affiliation: ______________________

Are you an ARRL member: [ ] Yes     [ ]No

[  ] 1 year $39          [  ] 2 years $76       [  ] 3 years $111

Name Badges: White Letters on Black background with Gold embossed OARC logo.

   [   ]  Regular 3"x 1.5" @ $10.00 (tax included)

    Name: _________________________ Call:  ________________

All badges are to be picked up at the general meeting. Or add $2.00 for shipping & handling

[  ] yes [  ] no for s & h

                                                                      BADGES____________ s&h __________TOTAL__________