Membership

TRANSAMERICA APPLICATIONS

REQUIRED  FORMAT  FOR MEMBERSHIP

            MEMBERSHIP APPLICANTS: must comply with the groups guidelines and courtesy codes when operating on TA frequencies. Failure to comply with this ruling could mean refusal of your membership and or dismissal from the radio group.

            All applicants must log five members of the TA radio group as references. These references will decide your acceptance or refusal to the radio group. Being recommended by a net controller or director is another way of gaining membership. List these contacts by NAME, TA #, and LOCATION.

                             NAME                             TA#                             QTH

# 1  _________________________      __________    ___________________________

# 2  _________________________      __________     ___________________________

# 3  _________________________      __________      ___________________________

# 4  _________________________      __________      ___________________________

# 5  _________________________      __________      ___________________________

           The following information is also required for the TA Radio Group membership records.

All information is held in confidence of the director of membership,unless otherwise stated by applicant.

NAME :  __________________________________________  XYL  ________________

ADDRESS :  _____________________________________________________________

CITY :  ___________________________ STATE : _________  ZIP CODE : __________

PHONE NUMBER  :  __(       )_________________________

TYPE of EQUIPMENT

RADIO  :___________________________  ANTENNA  : _________________________

YEARS of EXPERIENCE : ( SSB ) ___________________

           After completing the above parts. Application is to be mailed along with a $ 10.00 membership fee       ( money order ) to the director of membership. This fee is to cover your membership, postage, and handling. This fee is NOT REFUNDABLE for any reason ,after your membership has been excepted and your TA number assigned. Please allow 3 to 4 weeks for application review, processing membership packet and mailing. All  money orders are to be made payable to  Myron Ryder. And mailed to  Myron Ryder -- 2346 - Rt 305 -- Cuba ,  NY  -- 14727-9517

           If you agree to the all above terms and conditions.  Sign -- date -- and mail.

         NAME : _____________________________________________  DATE : __________________