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CREST Communications MEMBERSHIP / RENEWAL FORM CREST UNIT # _______ [ Assigned by Crest ]

Membership Status: [    ] Regular $20  [    ] Family+1  (2nd Member $15  [    ] Family+1 Add-On  (3rd+ Member  $5

[    ] Junior $15 (Minors under 18-years of age, Date of Birth: __ / __ / __)     [    ] Life [    ] I want information please
 

Note: CREST COMMUNICATIONS, INC. is an affiliate of the American Radio Relay League. All members automatically belong to the Repeater Users Group (RUG).


Last Name:

First Name:

Address:

City:

State:

Zip +4

Home:  (                     )

HAM
Call Sign

Work:  (                     )

GMRS
Call Sign

Fax:  (                     )
ARRL Member Now?:     .Yes   .. No
If Yes, Member Number: 

Mobile #:  (                     )

E-mail:

Driver's License #

T-Shirt Size:

Please indicate AREAS of MEMBERSHIP INTEREST:  I would like information about

[   ] GMRS repeaters for personal use (requires personal GMRS license from F.C.C.)

[   ] Event participation providing volunteer communications with other team members.

                [   ] Traffic Watch Monitoring program.                 [   ] General monitoring program.

                [   ] Amateur radio operations.                                  [   ] Frequent mobile reporting.

                [   ] Support activities.                                                [   ] Disaster Emergency Services.

 

I would like to serve on a the indicated TEAM COMMITTEE:
     [  ] Awards,            [  ] Membership,            [  ] Disaster  services,   [  ] Refreshment,     [  ] Communications,      [  ] Repeater

I understand that the CREST COMMUNICATIONS TEAM requires my participation in a minimum of at least TWO team-sanctioned activities annually for continued membership.

Signature: ______________________________                 Date signed _________________

THANK YOU FOR YOUR INTEREST IN CREST COMMUNICATIONS, INC. Communications TEAM

Mail this application (donít forget your payment) to:

CREST COMMUNICATIONS, INC., P.O. Box 395, Corona, CA 92878

E-Mail Application to "info@crestcom.org"

Contact Us at: (951) 888-1046

 *** Office Use Only: ***

Membership Approved:           Yes      No

If Denied, Explain:

 

Vetted by:

Date:

 

Membership Status:
          [     ]   Regular ($20 / annually) - For primary member
          [     ]   Family+1 ($15 / annually) - For spouse or family members
          [     ]   Family+1 Add-On  ($5 / annually) - Additional family members, above Family+1 status.
          [     ]   Junior ($15 / annually) - Complete application & mail/fax to us.  We will contact you.
          [     ]   Life - Information available upon request.  Complete application & mail/fax to us.  We will contact you.
 



CREST Communications
P.O. Box 395 
Corona, CA  92878-0395  U.S.A.
PH:  951-888-1046
Click Here to Contact Us


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by CREST Communications.
  ALL RIGHTS RESERVED.
CREST Communications  is an IRS 501(c) (3) Not-For-Profit organization.