Membership Application
& Renewal Form

               About Our Club:
The Toledo Radio Amateur Club (TRAC) provides and maintains the 146.340/940 and 147.975/375 repeaters for use by ARES, Skywarn and the Amateur Radio Community.

TRAC holds regular meetings on the first Thursday of each month at the Springfield Township Hall, 7617 Angola Road near King Road. Meetings start at 7:30PM and includes a short business meeting and programs related to our hobby.

Membership Classifications (per year)
              Full Membership ($15.00): Must be a currently licensed amateur radio operator.
He or She has full privileges including use of the repeater, voting rights and the right to hold office.
Dues Prorate: Sept 1 - Dec 31 $11.25; Jan 1 - Mar 31 $7.50; Apr 1 - May 31 $3.75
              Family Member ($4.00): Must live in the same household as a full member. If the member holds a valid amateur license, he or she has the same privileges as a full member. A non-licensed family member is welcome at all club activities but shall have non-voting privileges only.
              Associate Member ($10.00): Is a person interested in Amateur Radio but who is not currently licensed. An Associate Member has non-voting privileges only.
              Sustaining Member ($10.00): Is a Full Member who's residence has moved 100 miles out of the Toledo area. A Sustaining Member has non-voting privileges only.

Name:

Callsign:

Street:

City:

State:

Zip:

E-mail:

Birthday:

Phone Number (day):

Night:

YEAR OF RENEWAL

NEW

RENEWAL

FULL

FAMILY

ASSOCIATE

SUSTAINING

ARRL Member:

Expiration Date:

YES

NO

The above information to my knowledge is correct and with signing this form I understand that I am applying for and/or renewing a membership to the "Toledo Radio Amateur Club"

Signature: 

Date:

Please fill out this page, print to your printer, sign and then mail to:

Becky Eby, KC8ZNX
2741 Gracewood Road
Toledo, Ohio 43613

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