Name:		I/C Number:

Callsign:
Address:

Postal Code:		State:	Please Choose A State Does Not Apply Kuala Lumpur Perlis Kedah Perak Selangor Negeri Sembilan Melaka Johor Pahang Terengganu Kelantan Sabah Sarawak Labuan
Nationality:		Passport No:
Date Of Birth:		Sex:	Sex Male Female

Profession:

Office Phone:			Home Phone:
Fax:			Hand Phone:

Email:

I, the undersigned, agree that in the event of my election to membership of MARTS, will abide
by, and observe the rules, regulations and articles of the Society. I further agree to observe
strictly the terms of my license issued to me by the responsible authorities to operate transmitting
or receiving apparatus.

Signature:	____________________	Date:

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Enclosed	Select OneCross ChequePostal OrderMoney Order	No:

All subscription cheque to be made in the name of "MARTS"

Entrance Fee	= RM 20.00
Transmitting Membership	= RM 50.00
Malaysian Associate Membership (SWL's)	= RM 25.00
Overseas Associate Members (All Categories)	= RM 32.00
Family Membership Transmitting (Spouses/unmarried children)	= RM 25.00
Family Membership SWL (Spouses/unmarried children)	= RM 15.50

 

A MEMBER OF THE INTERNATIONAL AMATEUR RADIO UNION