SORT Membership Form

Callsign: _________________________________

Name: _________________________________

Street: _________________________________

City: _________________________________

Postal Code: _________________________________

(Optional Additional Information)

Packet Radio BBS: _________________________________

E-mail Address: _________________________________

Family Member Callsign & Name: _________________________________
_________________________________

Other: _________________________________
_________________________________
_________________________________

Please send form with $10.00 for an annual membership
(Family and club membship are the same price) to:

Tim Spicer - VA3TJS
Membership Chairman
S.O.R.T. Inc.
73 Parliament Crescent
London, Ontario N6C 2X8