THE JAMAICA AMATEUR RADIO ASSOCIATION

APPLICATION FOR MEMBERSHIP

The Hon. Secretary

Jamaica Amateur Radio Association
P O Box 214
Kingston 20

Dear Sir:

I wish to make application to be enrolled as a Transmitting/Associate member and shall be glad if you will submit my name to your Committee of Management.

I enclose the sum of ...................................................................................................to cover Entrance

Fee and one year subscription.

NAME (BLOCK CAPITALS)________________________________________________

ADDRESS (BLOCK CAPITALS _____________________________________________

________________________________________________________________________

AGE (IF UNDER 21) _______________________________________________________

CALL SIGN ______________________________________________________________

UNDERTAKING TO BE SIGNED BY APPLICANT

I, the undersigned, agree that in the event of my election to membership of the Jamaica

Amateur Radio Association I will abide by and observe the Rules and Regulations of the Association. I further agree to observe strictly the terms of any license issued to me by the responsible authorities to operate transmitting and receiving apparatus.

Witness my hand this----------- day of ---------------------------------------------------2005

Proposer --------------------------------------------------------------------------------------

Seconder ------------------------------------------ Signature ---------------------------------