NAME (LAST, FIRST, INITIALS) ...............................................................................................................................................
CALLSIGN ............................. LICENSE CLASS ............................
MAILING ADDRESS ...............................................................................................................................................
............................................................................................ ZIP/POSTAL CODE .........................
E-MAIL .................................................. PERSONAL WEB PAGE.....................................................
TELEPHONE NUMBERS WHERE YOU CAN BE REACHED IN CASE OF EMERGENCY:
HOME ......................... WORK ......................... CHURCH ......................... OTHER .........................
DO YOU HAVE EQUIPMENT ON THE AIR FOR HF - VHF - UHF (CIRCLE ALL THOSE APPLICABLE).
PLEASE INDICATE IF YOU ARE A LDS REGIONAL/STAKE/DISTRICT/WARD/BRANCH (CIRCLE ALL THOSE APPLICABLE) EMERGENCY RADIO RESPONSE SYSTEM (E.R.R.S.) SPECIALIST.
M.A.R.A CONSTITUTION ARTICLE I - MEMBERSHIP
All persons interested in providing emergency communication services for the LDS Church by Amateur Radio shall be elegible for membership. Membership shall be by application and election upon such terms as the club shall provide in its By-laws
BY-LAWS SECTION 2 - MEMBERSHIP
Full membership is open to licensed amateurs. Associate membership is open to all other interested persons. Full membership includes all club privilages including the right to vote for club officers and to serve as a club officer execpt that club officers must also be members of a unit of the North American Northeast area of the LDS Church. Associate membership includes all club privileges except for the right to hold office and vote for club officers.
I AM ENCLOSING A CHECK FOR THE AMOUNT OF $_______ FOR ___ YEAR(S) FOR FULL/ASSOCIATE (CIRCLE ONE) MEMBERSHIP.
SIGNATURE .....................................................................................
PLEASE MAIL THIS FORM WITH A CHECK OR MONEY
ORDER FOR $5.00 U.S FUNDS PER YEAR.
DO NOT SEND CASH.
MAKE PAYABLE AND MAIL TO:
DAVE MARLING - VE1VQ
SECRETARY-TREASURER M.A.R.A. NE
BOX 53A, RR#1, TUSKET,
NOVA SCOTIA
B0W 3M0
CANADA