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Student Memberships and Life Memberships for Those Over 85 Years of Age Application
Use this form to apply for a student membership or for Life Memberships for those over 85 years of age with the Anchorage Amateur Radio Club.
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Email
*
Your email
First Name
*
Your answer
Middle Name or Middle Initial
Your answer
Last Name
*
Your answer
Callsign - Enter "NONE" if you do not hold a current amateur radio license
*
Your answer
Telephone number
*
Your answer
Mailing Address (street or PO Box)
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Are you applying for a Student Membership or a Life Membership because you are over the age of 85
*
Student
Over 85
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