life membership application - arrl

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I hereby apply for Life Membership 70+ in the American Radio Relay League, Inc. You must be 70 years or older and have 25 years membership in ARRL. Name _____________________________________________ Call Sign _____________________________________ Street ___________________________________________________________________________________________ City __________________________________ State or Province _____________________ ZIP ___________________ Country ______________________________________ Date of Birth (proof of age required) _________________________ Email _____________________________________________ Phone _______________________________________ Add a Family Life Membership Name ______________________________________________________ Call Sign_____________________________ Enclosed is my: Check or Money Order VISA Charge to my: MasterCard American Express Discover Number _____________________________________________________ Expiration Date ______________________ 1. L i f e Memb e r s h i p 70+ i n t h e L e a g u e s h a l l b e a v a i l a b l e t o a n y i n d i v i d u a l , o t h e r t h a n a F ami l y Memb e r , wh o i s a g e 7 0 o r o l d e r a n d h a s an a n n u a l memb e r s h i p o f 2 5 y e a r s o r l o n g e r . 2. The L i f e Memb e r s h i p 70+ f e e i s c u r r e n t l y $ 7 5 0 i n t h e U. S . a n d p o s s e s s i o n s a n d $ 1 , 5 1 5 e l s ewh e r e . I n t e r n a t i o n a l L i f e Memb e r s 70+ ma y o p t t o r e c e i v e d i g i t a l - o n l y ma g a z i n e s f o r a f e e o f $ 7 5 0 . 3. Up o n p a yme n t , L i f e Memb e r s h i p 70+ wi l l b e g r a n t e d wi t h t h e a p p r o v a l o f t h e E x e c u t i v e Commi t t e e . 4. L i f e Memb e r s h i p s 70+ a r e n o n - t r a n s f e r a b l e a n d d u e s p a yme n t i s n o n - r e f u n d a b l e . 5. A F ami l y L i f e Memb e r s h i p i n t h e L e a g u e s h a l l b e a v a i l a b l e t o a n y f ami l y memb e r o f a p a i d i n f u l l L i f e Memb e r 70+ u p o n r e c e i p t o f a f e e o f $ 2 5 0 , a n d in c l u d i n g a p r o v i s i o n f o r r e g u l a r L i f e Memb e r s h i p t o b e a c q u i r e d u p o n t h e a d d i t i o n a l p a yme n t o f t h e d i f f e r e n c e i n d u e s n o r ma l l y r e q u i r e d , i f h e o r s h e s h o u ld c e a s e t o b e e l i g i b l e f o r t h e $ 2 5 0 r a t e . T h e a d d r e s s o f t h e F ami l y L i f e Memb e r mu s t b e t h e s ame a s t h a t o f t h e p r i n c i p a l L i f e Memb e r 70+ . 6. P r o o f o f a g e ( c o p y o f b i r t h c e r t i f i c a t e , d r i v e r s l i c e n s e o r o t h e r o f f i c i a l I D) i s r e q u i r e d wi t h t h i s a p p l i c a t i o n . 7. A l l p a yme n t s mu s t b e i n U. S . f u n d s . Ch e c k s mu s t b e d r awn o n a b a n k wi t h i n t h e U. S . We a r e n o t r e s p o n s i b l e f o r c a s h l o s t i n t h e ma i l . LLM 6/2020 Project #757 I agree to the conditions and terms as outlined above. Signature ________________________________________ Call Sign _________________ Date ______________ Life Membership 70+ dues include $375 for a lifetime subscription to QST or On the Air. International Life Membership 70+ dues include a $765 surcharge for delivery of a lifetime subscription to QST or On the Air. ARRL 225 Main Street Newington, CT 06111-1400 USA Toll free (US) 1- 888-277- 5289 or 860-594-0200 www.arrl.org/join Life Membership 70+ Application Choose your print magazine: QST, ARRL’s monthly membership journal for active radio amateurs All members can access the digital edition of both magazines. Rules for Life Membership 70+ On the Air, ARRL's new bi-monthly magazine offering beginner-to-intermediate level help and advice Age confirmed (if application is accepted in field) by Name of ARRL Official _________________________________________________________________________

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Page 1: Life Membership Application - ARRL

I hereby apply for Life Membership 70+ in the American Radio Relay League, Inc.

You must be 70 years or older and have 25 years membership in ARRL.

Name _____________________________________________ Call Sign _____________________________________

Street ___________________________________________________________________________________________

City __________________________________State or Province _____________________ ZIP ___________________

Country ______________________________________ Date of Birth (proof of age required) _________________________

Email _____________________________________________ Phone _______________________________________

Add a Family Life Membership

Name ______________________________________________________ Call Sign_____________________________

Enclosed is my: Check or Money Order

VISACharge to my: MasterCard American Express Discover

Number _____________________________________________________ Expiration Date ______________________

1. L i f e Memb e r s h i p 70+ i n t h e L e a g u e s h a l l b e a v a i l a b l e t o a n y i n d i v i d u a l , o t h e r t h a n a F am i l y Memb e r , wh o i s a g e 7 0 o r o l d e r a n d h a s an a n n u a l memb e r s h i p o f 2 5 y e a r s o r l o n g e r .

2. The L i f e Memb e r s h i p 70+ f e e i s c u r r e n t l y $ 7 5 0 i n t h e U . S . a n d p o s s e s s i o n s a n d $ 1 , 5 1 5 e l s ewh e r e . I n t e r n a t i o n a l L i f e Memb e r s 70+ ma y o p t t o r e c e i v ed i g i t a l - o n l y ma g a z i n e s f o r a f e e o f $ 7 5 0 .

3. Up o n p a yme n t , L i f e Memb e r s h i p 70+ w i l l b e g r a n t e d w i t h t h e a p p r o v a l o f t h e E x e c u t i v e Comm i t t e e .4. L i f e Memb e r s h i p s 70+ a r e n o n - t r a n s f e r a b l e a n d d u e s p a yme n t i s n o n - r e f u n d a b l e .5. A F am i l y L i f e Memb e r s h i p i n t h e L e a g u e s h a l l b e a v a i l a b l e t o a n y f am i l y memb e r o f a p a i d i n f u l l L i f e Memb e r 70+ u p o n r e c e i p t o f a f e e o f $ 2 5 0 , a n d in c l u d i n g

a p r o v i s i o n f o r r e g u l a r L i f e Memb e r s h i p t o b e a c q u i r e d u p o n t h e a d d i t i o n a l p a yme n t o f t h e d i f f e r e n c e i n d u e s n o r ma l l y r e q u i r e d , i f h e o r s h e s h o u ld c e a s e t o b e e l i g i b l e f o r t h e $ 2 5 0 r a t e . T h e a d d r e s s o f t h e F am i l y L i f e Memb e r mu s t b e t h e s ame a s t h a t o f t h e p r i n c i p a l L i f e Memb e r 70+ .

6. P r o o f o f a g e ( c o p y o f b i r t h c e r t i f i c a t e , d r i v e r s l i c e n s e o r o t h e r o f f i c i a l I D ) i s r e q u i r e d w i t h t h i s a p p l i c a t i o n .7. A l l p a yme n t s mu s t b e i n U . S . f u n d s . Ch e c k s mu s t b e d r awn o n a b a n k w i t h i n t h e U . S . We a r e n o t r e s p o n s i b l e f o r c a s h l o s t i n t h e ma i l .

LLM 6/2020Project #757

I agree to the conditions and terms as outlined above.

Signature ________________________________________ Call Sign _________________ Date ______________

Life Membership 70+ dues include $375 for a lifetime subscription to QST or On the Air. International Life Membership 70+ dues include a $765 surcharge for delivery of a lifetime subscription to QST or On the Air.

ARRL ■ 225 Main Street ■ Newington, CT 06111-1400 ■ USAToll free (US) 1- 888-277-5289 or 860-594-0200 ■ www.arrl.org/join

Life Membership 70+ Application

Choose your print magazine:QST, ARRL’s monthly membership journal for active

radio amateurs All members can access the digital edition of both magazines.

Rules for Life Membership 70+

On the Air, ARRL's new bi-monthly magazine offering beginner-to-intermediate level help and advice

Age confirmed (if application is accepted in field) by Name of ARRL Official _________________________________________________________________________