radio tower NORTHLAND ANTIQUE RADIO CLUB MEMBERSHIP APPLICATION


Name _____________________________________ Phone (_______) ________________________

E-Mail Address ____________________________________________________________________

Street ____________________________________________________________________________

City __________________________________________ State _________ Zip __________________

Privacy Options:
____ I DO NOT want my name, address, phone, or email to be printed in a club roster.
____ I DO NOT want identifying photos of myself to appear in the NARC newsletter.

Return application, along with $12.00 dues to: NARC, P.O. Box 18362, Minneapolis, MN 55418

Memberships are valid for 12 months from date of receipt.

OPTIONAL QUESTIONS

Please indicate your areas of interest:
____ Wireless Equipment
____ Crystal Sets
____ Early battery radios
____ Farm radios
____ Plastic radios
____ Transistor radios
____ Televisions
____ Commercial sets
____ Military sets
____ Audio, Hi-Fi
____ Amateur equipment
____ Loudspeakers
____ Microphones
____ Vacuum Tubes
____ Test Equipment
____ Literature
____ Advertising
____ Swap Meets
____ Radio Auctions
____ Radio Contests
____ Guest Speakers
____ Social Events
____ Historical Information

Other: _____________________________________________________________


Sponsoring Member: ______________________________

Club Affiliations: _________________________________

Number of years collecting: ______________

Would you help with club activities? ______________