Simply complete the details in the application form (below) and post to:

Finance Manager
Quartz Hill User Group
Box 6464
Wellington 6035
New Zealand

Make cheques payable to Wellington Amateur Radio Club Inc. Note that membership is subject to the approval of the WARC Quartz Hill sub-committee.


























Surname
 First names Call
Street Address
Suburb
Town
 Postcode
Home Phone
 Work Phone
 Fax
 Cellphone
Email address


I wish to apply for membership (or renewal of membership) of the Quartz Hill User Group and agree to comply with the rules established for the operation and security of the site. I understand that I may be invited to assist in occasional working bees. My subscription payment is enclosed.










Signed
 Date
Subscription

$


 Donation towards facilities

$


 Total Amount Enclosed
(indicate currency)
$


Posted by ZL1AXG on January 01, 2006
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