GASTON COUNTY AMATEUR RADIO SOCIETY, INC. GASTONIA, NC MEMBERSHIP APPLICATION
Name Call
Address Phone
City State AL AK AS AZ CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip Code
Year Licensed Present Class
Email Address
Yearly Fees/Dues
Full Member--$16.00 Associate Member--$8.00
*New Member's fees/dues are prorated after March 31. April through December-$1.33 per month.
For office use only
Approved_____ Not Approved_____ Date______________
Approved by_______________________Title______________________
Paid________Date___________Received by_______________________
