SACMARC Membership Application

Save, Print, and Mail to address at bottom of application
(Spouse and other family member names/callsigns only required if
applicable and intended to be included in Family Membership)

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First Name              Last Name

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Callsign                License Class                   Expiration

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Spouse's First Name     Spouse's Last Name

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Spouse's Callsign       Spouse's License Class          Expiration

_________________________________________________________________________
Other Immediate Family Member Names/Callsigns

_________________________________________________________________________
Street/PO Box/Rural Route/Apartment

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City                            State                   Zip Code

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Phone Number                    E-mail Address

Do you wish to be subscribed to our Electronic Mailing List?  Y / N
ARRL Member?  Y / N

_________________________________________________________________________
Signature               Date

Dues per year are as follows:
Individual:   $5
Family:       $7.50
Student:      $2.50
First-Year Licensed Amateurs: FREE  (enclose copy of license)

Make all checks payable to SACMARC, Inc.
Send this application, and applicable dues, to:

SACMARC, K0AIR/K0GRL
P.O. Box 1292
Bellevue, NE  68005-1292

The Strategic Air Command Memorial Amateur Radio Club (SACMARC),
Incorporated, is an ARRL-Affiliated Club and Nebraska Non-Profit Public
Benefit Corporation.  The purpose of the corporation is to preserve the
communications history of the Strategic Air Command and United States
Air Force through amateur radio by a variety of lawful means.