North Shore Radio Club,
North Shore Civil Defence Centre,
400 East Coast Rd,
I would like to become a member of your club, please give this formal application due consideration.
The full name by which I like to be known is ___________________________________
I acknowledge that full membership of the North Shore Radio Club requires me to maintain a current membership with NZART and hold a New Zealand General Amateur Operator’s Certificate; please consider my application for: (Strike out as appropriate)
A. Full Membership
B. Associate Membership