CREST Membership Application

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 a chartered team of Communications International, Inc. and an affiliate of the American Radio Relay League. All members automatically belong to the Repeater Users Group (RUG). 100% of your membership dues are a “pass-through” to Communications International, Inc. and CREST COMMUNICATIONS, INC. does not retain any of your dues amount.
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 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 (don’t forget your payment) to: *CREST COMMUNICATIONS, INC., P.O. Box 395, Corona, CA 92878*
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.