Spirit Of ’76 Amateur Radio Klub P.O. Box 43764 Detroit, MI. 48243-0764 VHF - 146.760 & UHF - 444.000 MHZ.
Date: __________________ Name: __________________________________________________ Address: ________________________________________________ City: __________________________ State: _______ Zip: _________ Phone: (_____) ___________________ unlisted? Y N (no. will be protected) Other Phone: (_____) ________________ unlisted? Y N (no. will be protected) Call Sign: ___________________ License Class: N T T+ G A E E-Mail Address: ___________________________________________ ARRL Member? Y N Donation minimum - $20.00 annually. Additional family members, residing in the same household, are $10.00. Make checks payable to: Spirit of 76 ARK Additional Family Members: Name: _________________________________________ Call Sign: _____________________ License Class: _____ Conditions of Membership I agree to abide by FCC Rules (part 97/Communications Act of 1934 as amended) and ARRL Repeater Operation Practices. I understand that my membership can be terminated if I am in violation of FCC Rules, or if ARRL repeater operating practices or membership privileges are abused. I understand that I am responsible for the conduct of the party that I am talking to on the auto patch. (Please advise them of the rules and procedures in advance to avoid any problems.) My signature below indicates that I understand and accept these conditions. Signature/Date ________________________________________________________ 1007 76app.doc
