Membership

Michigan Antique Radio Club
Vintage Electronics
membership form

Name:_________________________________________________

Spouse’s name:__________________________________________

Phone:_________________________________________________

Address:________________________________________________

_______________________________________________________

Email:__________________________________________________

Would you like to be included in the MARC directory?_____________

How long have you been collecting vintage electronics?___________

List any year range of electronics you particularly enjoy:___________

What are your interests?
Vintage audio gear____
Vintage electronic games_____
Vintage computers/calculators______
Vintage televisions_____
Vintage radios_____
Don’t know yet_____

Any specific brands you collect?______________________________

Have you done servicing?___________________________________

Anything else other vintage electronic enthusiasts should know about you?

___________________________________________________________

___________________________________________________________

Please print this form and send it with a check or money order for $25 to Angela Shackleford, membership secretary, P.O. Box 359, Conway, MI 49722