Bullitt Amateur Radio Society P.O. Box 580 Shepherdsville, KY 40165-9998 Web Site: KY4KY.com

Call Sign:  Class: 
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Novice
Technician
Tech Plus
General
Amateur Extra
Please Select Expires: 

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I belong to the following radio clubs:
 

I am an ARRL Member:  
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I am willing to work on a committee:  
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My main interests in amateur radio are:
 

Membership dues per year (Membership period is from January 1 through December 31.)

Full Members: Over 62 Years 0ld           $15 per year*
              Handicapped per FCC Rules   $15 per year*
              All Others                  $25 per year**
              Under Age 18 Years Old      No Cost***
              Additional Family Members   $5 per year (not pro-rated)

* Pro-rated May 1-Jul 15 $11; Jul 16-Oct 15 $7; Oct 16-Dec 31 $3.50
** Pro-rated May 1-Jul 15 $18; Jul 16-Oct 15 $12; Oct 16-Dec 31 $6
*** Must hold an amateur radio license for full membership.

An associate (non-voting) membership is available to unlicensed individuals for $5 per year,
not pro-rated.

Amount Paid ________________   Date __________________  Received By ________________________

Expires: _________________

	THE BULLITT ARS IS AN ARRL AFFILIATED SERVICE CLUB