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Please Print Legibly – Note: TSC will not share personal information without your permission.
Date:________________
Name:______________________________________________________________
Address 1:___________________________________________________________
Address 2:___________________________________________________________
City: ______________________State:______________________ Zip:___________
Day Phone: ___________________Eve. Phone:___________________
eMail:______________________________________________________________
TRA Number: ____________ NAR Number: ____________ Certification Level:_______
Areas of Interest:_____________________________________________________
Low Power( ) Mid Power( ) High Power( ) Staging( ) Electronics( ) Clustering( )
Other:_____________________________________________________________
Comments:__________________________________________________________
Please send membership form along with $25.00 check or money order made out to
"Tripoli South Carolina" to the Secretary address listed below. Memberships run June
1st to May 31st. Questions regarding membership may be directed to any of the officers
below:
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Prefect |
Treasurer Kay Henderson (828) 466-1870 Treasurer@tripolisc.org |
Secretary Ed Fenton secretary@tripolisc.org |