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Membership Application


   

   

 

                        
 
The Morse Telegraph Club is an IRS recognized 501(c)(3) non-profit historical association dedicated to preserving
the history of telegraphy and the telegraph industry. In addition to supporting our preservation, outreach
and education activities, members receive four issues of our Quarterly Journal entitled "Dots and Dashes."

Morse Telegraph Club, Inc.
PO Box 192
Buchanan, MI. 49107

Name:________________________________________________________________________________
Call Sign (if Amateur Radio Operator):________________________ Year Licensed:_________________
Address:_____________________________________________________________________________
______________________________________________________________________________
City:_______________________________________ State:____________ Zip:______________________
Telephone:__________________________________________
E-Mail:______________________________________________

I authorize MTC to publish my contact information in the membership directory and I authorize MTC to release
my contact information to my fellow MTC members. I understand my membership information shall not be distributed,
sold or utilized in any manner beyond the internal use of the Morse Telegraph Club, Inc.:
______ YES ______ NO

MTC membership is open to anyone with an interest in the history of telegraph or the telegraph industry. However,
if you were employed in the field of telegraphy or radiotelegraphy, please provide a brief summary of your experience.
If necessary, please use the back of this form:

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Enclosed is my check written in the amount of $ 20.00 made payable to the "Morse Telegraph Club, Inc."
If located outside the United States, please pay using a bank draft or similar instrument negotiable in the United States.
Please mail check or money order to the address above.

Basic Annual Dues:__________
Additional Donation:__________ (Special education and museum projects fund)
Total Amount Enclosed:_____________


Signature:_____________________________________________________ Date:__________________________