NORTHLAND ANTIQUE RADIO CLUB MEMBERSHIP APPLICATION Name _____________________________________ Phone (_______) ________________________ E-Mail Address ____________________________________________________________________ Street ____________________________________________________________________________ City __________________________________________ State _________ Zip _____________ Privacy Options: ____ I DO NOT want my name, address, phone, or email to be printed in a club roster. ____ I DO NOT want identifying photos of myself to appear in the NARC newsletter. Return application, along with $15.00 dues to: NARC, P.O. Box 18362, Minneapolis, MN 55418 Memberships are valid for 12 months from date of receipt. OPTIONAL QUESTIONS Please indicate your areas of interest: ____ Wireless Equipment ____ Crystal Sets ____ Early battery radios ____ Farm radios ____ Plastic radios ____ Transistor radios ____ Televisions ____ Commercial sets ____ Military sets ____ Audio, Hi-Fi ____ Amateur equipment ____ Loudspeakers ____ Microphones ____ Vacuum Tubes ____ Test Equipment ____ Literature ____ Advertising ____ Swap Meets ____ Radio Auctions ____ Radio Contests ____ Guest Speakers ____ Social Events ____ Historical Information Other: _____________________________________________________________ Sponsoring Member: ______________________________ Club Affiliations: _________________________________ Number of years collecting: ______________ Would you help with club activities? ______________