BARRA_Membership_Application

Buffalo Amateur Radio Repeater Association (BARRA)

Membership Application

Name*

Callsign*

License Class*

When did you become a ham?*

Address*

City, State*

Zip*

Telephone No.*

Can we print your phone # in the club roster?*

YESNO

E-Mail Address*

example@example.com

Are you a ham?*

YESNO

I wish to receive the newsletter by POST (Additional $5/yr.)*

YESNO

Are you a member of any other Amateur group? If so, which ones?

Are you Affiliated with any of these groups?

ARESRACESARRL

What bands/modes do you operate?

What is your occupation?

Name wanted on your name tag (first name only)*

Why do you want to become a member of BARRA?*

Signature*

Membership Agreement: I hereby make application for membership to the Buffalo Amateur Radio Repeater Association and agree to abide by the By-Laws, Rules and Regulations set forth by the FCC and this Association and shall to the best of my ability work towards the advancement of Amateur Radio and the goals set forth by the Buffalo Amateur Radio Repeater Association.

Applications are voted upon at monthly Board meetings. You will be advised of your status by the Membership Chairman.

Buffalo Amateur Radio Repeater Association (BARRA)Membership Application

Buffalo Amateur Radio Repeater Association (BARRA)

Membership Application