|
|
|
Indiana Historical Radio Society Membership Application Send this page to a
printer, complete the form (please print clearly), and with a check
payable to IHRS, Name _______________________________________ Date _________________ Street (R.R., P.O. Box) ________________________________________________ City ____________________________ State _________________ Zip _________ Phone ( ) ____________________ email address ________________________ Amateur Radio Call _________________________________ Do you have any specialties or particular interests?
Are you a member of other radio clubs? __________ Do you have a current or past affiliation with the radio industry? (If so please tell us.)
Husband and wife,
family members, etc. at the same address are one membership.
Dues are $15.00 for one year, in the U.S. Please make your check payable to the Indiana Historical Radio
Society (or IHRS) and send this application form to:
|