Membership Application
AREC Repeater Group, Inc.
Membership Application
First Name ____________________________________ MI _
Last Name _____________________________________________
Call Sign _____________ ARRL Member? _ (Y/N)
Address ________________________________________________
____________________________________________________________
City ________________________________
State ______ Zip _____
Phone ______________________________
Email ____________________________ (for newsletters and announcements)
Other licensed family members in same household
Name Call sign
Please make check for $20 payable to: AREC Repeater Group, Inc.
and mail to:
AREC Repeater Group, Inc.
PO Box 7623
West Palm Beach, FL
33405-7623
You will receive an email confirming your payment and membership.
Thank you for your support!