INDIANA HISTORICAL RADIO SOCIETY
Indiana Historical Radio Society Membership Application
Send this page to a
printer, complete the form (please print clearly), and with a check
payable to IHRS,
mail the form to the IHRS Treasurer at the address listed
below.
Name _______________________________________ Date _________________
Street (R.R., P.O. Box) ________________________________________________
City ____________________________ State _________________ Zip _________
Phone ( ) ____________________ email address ________________________
Amateur Radio Call _________________________________
Do you have any specialties or particular interests?
Are you a member of other radio clubs? __________
Do you have a current or past affiliation with the radio industry? (If so please tell us.)
Husband and wife, father and son, brothers, etc. at the same address are one membership. Dues are $15.00 for one year in the U.S. $19.00 per year for overseas - U. S. funds only. The membership runs from January 1 to December 31. Four IHRS Bulletins are sent to paid members each year.
Please make your check payable to the Indiana Historical Radio
Society (or IHRS) and send this application form to:
Herman Gross, IHRS Treasurer
1705 Gordon Drive
Kokomo, IN 46902
Site maintained by Fred Prohl at indianahistoricalradio@att.net