*** Application for membership in SCRA ***
Sonoma County Radio Amateurs, Inc.
PO Box 116, Santa Rosa, CA 95402
(Please print this, fill it out, and send it in with your check.)
Name__________________________________ Callsign______________ License Class_____________
Address__________________________________ Phone_______________ Date_________________
City____________________________ Zip___________ New Application_____ Renewal_____
E-mail (if any)________________________________
Please Send Short Skip to my E-mail address
( )YES! ( )No thanks
SCRA Dues: The renewal date for SCRA dues is March 1st. Dues are
$24/year for individual and $36/year for families.
The
new member Name/Callsign Badge fee is $10/person. Dues for new members
only are prorated quarterly, starting at the renewal time.
(Please make checks payable to SCRA.)
I WOULD LIKE MORE INFORMATION ABOUT:
( ) Public Service Events ( ) Acting as club Net Control Station
( ) ARES Emergency Services ( ) Helping with VEC license exams
( ) Taking a Novice or Technician class ( ) Field day, other operating events
( ) Teaching a Novice or Technician class ( ) Helping with Short Skip Newsletter
( ) Taking an upgrade class ( ) Other____________________________
( ) Teaching an upgrade class
SCRA Dues:
Individual $24, Family $36 +________
Name/Call Badge $10/person +________
SCRA Patch $5/ea +________
SCRA T-Shirt $10/ea Circle S M L XL +________
Prorate discount -________ (Prorate discount is quarterly
$6.00/quarter for individuals,
and $9.00/quarter for
families figured from March 1st.)
Total: ________
Name Badge Information (new members) Fill in exactly as you want
it to appear on your badge.
Callsign____________________ First Name______________________ City____________________