Montreal Amateur Radio Club

 

MEMBERSHIP APPLICATION FORM
2020 / 2021

(Membership year is September 1 to August 31)

Is this a new membership application or a renewal?
New Membership Application
Membership Renewal
Check if information from last year is correct.
If your information from last year is unchanged, you only need to fill your name and callsign below.

 

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 $5.00 surcharge to cover the increased postage costs.
Single membership ($30.00)
Family membership ($35.00)
MarcOgram sent by Canada Post ($5.00)
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: 2020-10-31