(PLEASE COMPLETE USING BLOCK CAPITALS)

SURNAME……………………….
GIVEN NAME/INITIALS…..………….……

ADDRESS…………………………………….

…………………………………….

…………………………………….

…………………………………….

POSTCODE……………………………
TELEPHONE NUMBER………………..

CALLSIGN .....................
D.O.B.(IF UNDER 18)……………

OVERSEAS CALLSIGN...…………..
RSGB MEMBER YES/NO

email address..................................................

I, the undersigned, wish to apply for membership of the Poldhu Amateur Radio Club. I understand that I am responsible for familiarising myself with the constitution of the club before signing this document.

If accepted as a member, I undertake to abide by the constitution of the club together with any additional rules which the management committee may lay down from time to time.

Signed……………………...Date…………………

Sponsored By…………………………

Associate/Overseas Associate/Junior memberships do not carry voting rights in the running of the club.

fees 2007/8 : full £20, family £24, Associate £7, Overseas Associate £12, Junior (under 18) £5 

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NOTE.  Please print this form and post it to the

Poldhu Amateur Radio Club, Marconi Centre, Poldhu, Mullion,  Cornwall, United Kingdom. TR12 7JB

Thankyou for your support and interest in our club...