MEMBERSHIP APPLICATION FOR THE DIAMOND STATE COMMUNICATIONS SYSTEM AMATEUR RADIO CLUB "Diamond State......A Great Way to Communicate!" Name:___________________________________ Call:________________ License Class:_________________ Exp. Date:____________________ Address:______________________________________________________   City:_______________________              County:_______________________ State:_______________                         Zip:________________          "I , _______________________________; do hearby declare that I have received and read the Diamond State Communications System Constitution and agree to abide by the rules and regulations set forth by the same.  I will represent the DSCS club in an acceptable manner at all times and I understand that any failure to follow the rules and regulations set forth by the Federal Communicatins Commission (FCC) and/or the Diamond State Communications System (DSCS) may result in my expulsion from the club for a period of no less than six (6) months." Click here for a copy of the club constitution _________________________________                                         _________________                                   Signature                                                                                Date

Print this page!

Club dues are $20.00 for a single member or $25.00 for a family membership

Mail your signed application with your dues to: Connie Brewer KD5MTF      218 Walden      Benton, AR. 72105 Please write your check to Diamond State Communicaions system

Phone Number__________________