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S.M.H.A.R.C.
CLUB'S WEB SITE
APP
APPLICATION TO JOIN OUR CLUB
Name
Call Sign
Street Address
City/State/Zip
Phone
CLASS of LICENSE
TIME of BEING A HAM
MEMBER of ARRL YES/NO
Are you a Employee of Sturdy Memorial Hospital
HOW DID YOU HEAR OF US
RADIO INTERESTS
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