LOS ANGELES AREA COUNCIL OF AMATEUR RADIO CLUBS
Treasurer:
URAC-BEVERYL PITMAN, WA6TIU
2902 ONRADO ST.
TORRANCE, CA 90503
Annual Dues $10.00
PLEASE FILL IN THE INFORMATION BELOW
AND SEND TO THE TREASURER
Club Name: _______________________________________________________________
Club Mailing Address: _______________________________________________________
Club E-mail Address: ________________________________________________________
Club Web Page, if any: _______________________________________________________
Meeting Place Address: ______________________________________________________
Day(s) of month and time of meeting:______________________________________________
__________________________________________________________________________
Licensing Classes are held at (address): ___________________________________________
___________________________________________________________________________
Day of week and time of Licensing classes:
________________________________________
Phone number of Licensing classes:
______________________________________________
ARRL Affiliated Club: Yes: _____ No: ____
ARRL Service Club: Yes: ____ No: ____
Does your club have Liability Insurance? Yes: ____ No: ____
If yes, with what company? _____________________________________________________
Club President: Name and Call: __________________________________________________
Address and Phone Number: ____________________________________________________
____________________________ E-mail address: __________________________________
Club Delegates to LAACARC:
1: Name and Call: _____________________________________________________________
Address and Phone Number:_____________________________________________________
___________________________________________E-mail Address:_____________________________
2: Name and Call:
_____________________________________________________________________
Address and Phone Number:_____________________________________________________
______________________________________Email Address:__________________________