NTRS Membership Application
Please print out and mail form with check, payable to "N.T.R.S."

Name: Call Sign:

Address:

City, State, Zip:

Please check here if you DO NOT want your address posted on our website
Note: Unless you state otherwise, we will post your information on our website as a member of the N.T.R.S.


Home Phone: ( )    - 

Mobile Phone: ( )    - 
Please check here if you DO NOT want your phone numbers on our website

Email:
Please check here if you DO NOT want your email address on our website

Website: http://
Please check here if you DO NOT want a link to your website on our website

Are you a member of A.R.R.L.? Yes   No
If not, are you interested in information? Yes   No

Please List Additional Family Members here:

Name: Call Sign:

Name: Call Sign:

Name: Call Sign:

Name: Call Sign:

Annual Membership dues $20.00 per individual.  Total Enclosed:  $         

Additional comments:

Please mail the completed form, along with payment, to:
N.T.R.S.
204 Tuscarora Rd
Osceola, PA 16942

Visit us online:
http://ntrs.gainesgarage.com
ntrs@stny.rr.com

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