E.A.R.S. Membership Form 2008

      Call      
      Name      
      Address   
      City      
      State     
      Zip          
      Phone     
      E-mail    

                       
      License Class:

Annual Membership Dues:
$10.00 Single, $15.00 Family, $5.00 Senior(over 65)
     Type of membership:

List Family members below:(Family Membership)

Make checks payable to E.A.R.S. and mail to:
                     Bob Eberly KB3RB
                     906 Clearview Ave.
                     Ephrata, PA 17522


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