Membership Application

The Secretary
North Shore Radio Club,
North Shore Civil Defence Centre,
400 East Coast Rd,
Auckland 0630

Dear Sir,

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

Yours faithfully,