How To Join R.R.R.A.

TO APPLY: Print and complete this MEMBERSHIP APPLICATION. Send it, along with your dues and a copy of your Amateur Radio License if you are a new member or have recently upgraded. The Membership Chairperson will annotate it for renewal after he has a copy of the application on file. If you are sure that you have completed one of these forms, we will not require a new one. (We would appreciate your taking time to complete one anyhow so we can check our data base, particularly for ARRL membership and license expiration.) If you are not sure, fill out an application, include your dues, and a copy of your Amateur Radio License.

We do not plan, nor has it been the custom of the Rochester Radio Repeater Association, Inc. to send renewal notices to the membership. We depend on the reminders printed in the INTERMOD for membership renewals.

Annual dues are only $10 plus a $5.00 expense surcharge, additional family members are only $1 each. The RRRA Membership term is from November 1 - October 31

ROCHESTER RADIO REPEATER ASSOCIATION, INC.

New Membership Application

Please Print

Name:________________________________

Call:________________________________

License Class N, T, T+, G, A, E

Address:________________________________
City:___________ State:____ Zip:__________ (Plus 4)

E-mail address:__________________________________

Please provide your email address to recieve an electronic copy of the Intermod.

Enclosed is $______ Annual dues for myself
ARRL Member ( Y / N ) Date License expires:___/___/___

Enclosed is $______ Annual dues for each Ham in my family.

For Each Additional Licensed Family Member:

Name____________________ Call:__________ ARRL Member ( Y / N )? License Class N, T, T+, G, A, E

Name____________________ Call:__________ ARRL Member ( Y / N )? License Class N, T, T+, G, A, E

Name____________________ Call:__________ ARRL Member ( Y / N )? License Class N, T, T+, G, A, E

Interests: 2 meters FM ( Y / N ) - 220 FM ( Y / N ) - 440 FM ( Y / N )
Do you want an AutoDial Slot ( Y / N ) Phone Number:__________ On: 146.88

Comments:__________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

(The following information is optional, but important emergency information.)

Telephone:________________ Home:_______________ Work:_______________

Mail to: RRRA, INC. * P.O. BOX 92031 * Rochester, NY 14692-0031

Name:________________________________Address:________________________________Enclosed is $______ Annual dues for myself