I WANT TO HELP:

APPLICATION FOR MEMBERSHIP

Below is my tax deductible Donation, Membership in support of M.A.R.M 's work.

M.A.R.M is a charitable organization, Registration No BN 13180 6630 RR 0001

An income tax deductible receipt will be issued.

Please make cheques payable to M.A.R.M and mail to:

Manitoba Amateur Radio Museum Inc.
25 Queens Crescent
Brandon, Manitoba
Canada R7B 1G1


Name _____________________________________________CALL _________________

Address _________________________________________________________________

              _________________________________________________________________

Postal Code ______________________________

Phone No ________________________________

Anyone can become a Member.

All Life Members and Friends names and calls will be affixed to our plaques on display.

Life Membership $75.00 ( ) Donation-Friend $75.00+ ( )

Annual Membership $10.00 ( ) Donation $___________

Foundation Fund $____________ " In Memory of " $75.00 ( )


Thank You.


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