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Fort Smith Area Amateur Radio Club
 PO Box 32, Fort Smith, AR 72902-0032
Application for New or Renewal Membership

Name:  Call:  Class: 

Family Member Name:  Call:  Class: 

Family Member Name:  Call:  Class: 

Mailing Address: 

 City:  State:  Zip: 

Telephone (Home):  (Work): 

E-Mail Address: 

        ARRL Member? Yes No                Currently Involved in ARES or RACES? Yes No

Membership Dues per Year $20 $
First Time Members - July 1 Through December 31 $10 $
Other Family Member $5 $
Donation $ $
ARRL Regular Membership $39 $
ARRL Other Family Member $8 $
ARRL Age 65 & Up $36 $
Total Amount Paid $