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Jo Ann Tetterton/KC4PTA 22150 US Highway 264 Swan Quarter NC 27885 Questions? e-mail KC4PTA |
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Columbia Emergency Repeater Association
Application for CERA Membership
If you would like to join CERA, please print* this page, fill in the information requested, and mail to the address below. You will be contacted when we receive your application. You may use a separate piece of paper, but please include all the information below.
| Name and call | |
| Additional family member(s) and call(s) if hams
|
|
| Address (street, PO box, RFD) | |
| City, State, ZIP | |
| Telephone | |
|
Amount enclosed (Do Not Mail Cash): |
CERA dues are $15.00 per year. Additional Family Members are $1.00 each. PLEASE: Check or money order only, payable to CERA.
Mail information to:
__________________
Jo Ann Tetterton/KC4PTA
22150 US Highway 264
Swan Quarter NC 27885
Questions? e-mail KC4PTA
*To print this page, click File
in the upper left corner of your browser then click Print
in the menu that just opened.