Newbury and District Amateur Radio Society

Application for Membership
Please use block letters
The current membership fees can be obtained from the Treasurer
First Name		
Middle Initials		
Last Name		
Call Sign / SWL		
Address		
		
Town		
Post code		
Home Telephone No		
Mobile Telephone No.		
Email Address		
RSGB member	Yes / No* 	
Class of Membership	Full/ Family/ Student* 	

I wish to apply for membership of the Newbury and District Amateur Radio Society, and agree to comply with the Societies Constitution and any byelaws that may be in force from time to time.  

* I hereby give my consent for my details to be published in the Society Call / Address Book.
* I do not give consent for my details to be published in the Society Call / Address Book
* delete as applicable

Signed:__________________________________

Date________________________

Notes: 	1. RSGB membership is required for some Contests
2. Please return the completed form to the Club Treasurer