Membership Renewal

Not to be used for a new membership application.
Use paper pdf form for New Membership

EFT payments to: BSB 633 -000 Account No. 120432687 Notate with Name or Call sign

Surname

Given Names

Known as

Phone AH

Phone BH

Phone Mobile

Call Sign (if any)

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

WIA Member

Are you a member of the WIA

WIA Member Number (if known)

Tick if agree to pass email address to other NTARC members

Yes

Tick if agree to pass phone number to other NTARC members

Yes

Membership Type

Family members must have a relative who is currently financial Full Member.

Full Member $45

Family Member $5

Full Member Relative's name

I agree to be bound by the Rules of the Northern Tasmanian Amateur Radio Club Incorporated and I undertake that I will endeavour to advance the objects and interests of the Club to the best of my ability,

Payment Method

How will you pay your subscription?

Membership Renewal

Northern Tasmanian Amateur Radio Club Inc.