DRA Form 610

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Use this form to pay by mail.

It's this easy to join the DRA. Simply print this handy form and mail it in with your check or money order payable to "DRA, Inc." We'll add you to the official roster, and put you on the mailing list for the rest of the year. You'll also be eligible to vote for officers and on other matters at our meetings.

Mail to:

DRA, Inc.
C/O W3RSM
107 Lincoln Ave.
Newport, DE 19804

Thanks!


   Name ________________________________ Call ___________

Address ______________________________________________

City ________________________________ State __________

Zip + 4 ____ ____ ____ ____ ____ - ____ ____ ____ ____

Phone ______________________________ [_]Day [_]Evening

E-mail _______________________________________________

Family calls/names ___________________________________

Check one:

[_] Renewal individual $20

[_] Renewal family $30

[_] New member $20

[_] Join the DRA for the first time after June $10

[_] New family membership $30

[_] New, first time family membership after June $15

ARRL member? ___________ (Yes/No)