Membership - Annual Dues Form
Loudoun Amateur Radio Group

From Our LARG By-Laws: Item 2. Membership. Full membership is open to licensed amateurs. Associate membership is open to those actively engaged in a class leading to an Amateur Radio license and all other interested persons. Youth-Student Membership is open to anyone attending school on a full time basis. A licensed amateur Youth-Student member may elect to make application for Full membership. Full membership includes all club privileges as well as rights to hold a club office and to vote for club officers. Associate membership includes all club privileges except for the right to hold office and vote for club officers. Applications for membership shall be submitted at regular meetings.

From Our LARG By-Laws: Item 4.  Dues. A regular monthly assessment of $1 per Full and Associate members ($12 per year), and $1 per year for all additional club members from the same immediate family and an annual assessment of $1.00 per Youth-Student member is hereby assessed. These assessments are in accordance with the provisions of Article V of the Constitution for the purpose of providing funds for expenses.

Checks should be made out to Loudoun Amateur Radio Group. Dues are usually paid annually in January. You can bring this form to any of our meeting or mail it to our Treasurer: Jeff Slusher, 211 Lake View Way, NW, Leesburg 20176.

This form not only helps you to get your dues paid, but it also will let us update our membership data base so that we can provide you with a new membership list early in 2003. Our big expense is mailing out this newsletter and we need the $'s to keep it going!

Note: Your call sign, first and last name, city, and state will be posted on the publicly available LARG web site. The other information will be available to club members only and will be posted on the password protected members only LARG web page.

Membership - Annual Dues Form
Loudoun Amateur Radio Group

Your Call Sign ___________________ (if you have one)

First Name ____________________ Last Name ________________________

Phone # ________________________ (please include area code)

Mailing Address ___________________________________________________

City ____________________ State ____ ZIP ________ (5 digits only)

email address ______________________________________________

email address ______________________________________________

Type of membership (please circle):  Full    Family    Associate   Youth-Student

Are you a member of the LARG reflector? ___

Are you a member of ARRL? ___                Are you a member of VA ARES/RACES? ___

License class (please circle):

None   Novice   Technician    Tech Plus    General    Advanced    Extra

What year did you first join LARG?________

What year were you first licensed? ________

What was your first call? ___________________

Thanks for taking the time to fill out yet another form! If any of this information changes, please notify our treasurer, Jeff Slusher - KE5APC at jeff@slusher.org.