New MARC Club Member: 
Date: ______________________
Name: ________________________ Call Sign: ___________
Address:_____________________________________________
City: ____________________ State: _____ Zip: ________
Phone: ______________________________________________
Email Address: ______________________________________
_____ Okay to send "The Spark Gap" newsletter to your email address.
Other Hams in the Family:
Name: ________________________ Call Sign: ____________
Name: ________________________ Call Sign: ____________
Name: ________________________ Call Sign: ____________
Dues are payable January of each year.
- $23.00 per Year per Member
- $25.00 per Year for Family
- $15.00 per year if 65 or older
Payable To:
Meridian Amateur Radio Club
c/o Charles Grisham
4887 Valley Rd
Meridian, MS 39302