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: 2022-11-29