Cascade Amateur Radio Society Membership form
Membership Registration
First Name
Last Name
Call sign
Address #1
Address #2
City
State
ZIP
Email address
Home phone number
Work phone number
Cell/Other phone number
License class
Select your class of license:
Novice
Technician
Tech plus
Advanced
General
Extra
Type of Membership
(check all that apply)
New Membership: $15
Family Membership: $5
Jr/Sr Membership: $10
(Jr under 18, Sr 65 or older)
Renewal: $15
Club affiliation
(check all that apply)
MARA NW member
ARRL member
Comments?
Louis Bybee · Treasurer · 3404 NE 120th · Park Rose, OR 97220
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