Radomes Membership Application


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When you have completed your application, please mail it, along with your check to:

Radomes, Inc.
9976 Stoudertown Rd.
Baltimore, OH 43105
Items marked with an asterisk (*) are required.
Name:

*Last:

____________________ *First: ____________________ MI: ___

*Address:

________________________________________
  
________________________________________

*City:

____________________ *State/Prov.____ *Zip/Postal Code____________

*Country:

____________________

Phone:

____________________

Email:

________________________________________

*Type: [__] Active    [__] Associate   [__] Sponsor

If you are a veteran or current member of the U.S. or 
Canadian Armed Forces, you may apply for Active Membership.

       [__] United States     [__] Canada
If you are applying for Active membership, please select the 
country for which you served, or are serving, in the Armed Forces.

*Renewal:

Sponsor Member applicants, select "Annual", below. Individual annual 
membership dues accumulate toward lifetime membership.

Dues: Annual     [__]
      Lifetime   [__]
	  
      Individual Annual: $15
      Individual Lifetime: $150
      Sponsor Annual: $250
	  

[__] Don't list my name in the Members Only online directory

[__] List my name, but not my email address

Sites: [______________________________________________________]
            (use Unit/Squadron numbers, space is limited)
			
Veteran of:
[__] Pinetree Line  [__] DEW Line  [__] Texas Towers  [__] BMEWS

[__] I'd like to get my newsletter electronically from the Members Only
     pages (saves us some money, and will allow us to do some new things
	 with the newsletter).