Montreal Amateur Radio Club

MEMBERSHIP APPLICATION FORM 2022 / 2023
Our membership year is from September 1 to August 31

New memberships starting on or after June 1st will be extended through the subsequent membership year - covering a period of up to fifteen months. Only valid for new members.

Is this a new membership application or a renewal?

New Membership Application

Membership Renewal

Check if information from last year is correct

Fields marked with * are mandatory

Last Name: *

First Name: *

Callsign:

Address: *

City: * Prov: *

Country: Postal code: *

Home Phone: *

Work phone: ext.:

E-mail: *

If you prefer your Marcogram to be sent by Canada Post there is a $10.00 charge to cover the postage costs.

Single membership ($30.00)

Family membership ($35.00+$3 per additional person)

MarcOgram sent by Canada Post ($10.00)

Please select the number of additional family members:

Call or name of family members, one per line:

If you are a first time member, who introduced you to MARC:

Are you a member of Radio Amateurs of/du Canada (RAC)? YES NO

Date: 2023-06-05