Address_________________________City_________________Zip___________
Home Phone________________________Work Phone___________________________
Circle one:--------Present Member----------------New Member---------------Info Change
Circle Equip:----------2m Syn. HT--------------2m Mobile-----------Portable Packet
I will be available for shift(s) during days/hours circled below:
Pre-Parade: -----Dec 31 -- 1100 to 1800 ---- Dec 31 -- 1800 to 0200
Parade: ----Jan 1 -- 0200 to 1400
Post Parade:--- Jan 1 -- 0800 to 1800 ----- Jan 2 -- 0800 to 1800-----Jan 3--0800 to 1800
Circle applicable statements below:
----I am avail. for multiple shifts--------If possible, I wish to have the same assign. as last year
New and present TORRA members please fill in the above info form and mail it with $5.00 dues. The availability of both new and present TORRA members will be confirmed through receipt of this completed form. Include any pertinent remarks on the back.