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Membership Application

Please complete the application and press "Submit" button when you are finished.

  Applicant/Member Information:    
       
  Required  
  Required  
  Nick Name  
  Address Required  
  City Required  
  Zip Code Required  
  Home Phone  
  Cell Phone  
  Email Address Required  
  Callsign  
  Class No License Technician Advanced General Extra  
  Are you a ARRL member? No Yes Life Member  
  Membership:  
  Membership Type Required  
  Membership Term Required  
  New hams, first year of membership is free.
Single year membership $22.
Multi-year membership $20 per year.
Each associate member $7 per year
Associate members are immediate family members of applicant/member.
  
       
  Prorated Dues for New Members/Associates:
July $20/$6
Aug $18/$5
Sept $16/$4
Oct $14/$3 + following year
Nov $12/$2 + following year
Dec $10/$1 + following year		  
       
Membership Dues
       
  Name Tag:  
  Name tag clip type No Name Tag Standard Clip ($10) Magnet Clip ($15)  
  Donations:    
  General Club Fund (between $0 and $2000)  
  Repeater Fund (between $0 and $2000)  
       
  Comments & Questions:    
  Please list all associate members here with their name, email, and callsign if they are licensed.  
  Payment:    
  Payment Method Cash/CheckPayPal  

By clicking "Submit", the applicant agrees that all the information provided above is correct. Membership application needs to be approved by the membership committee and membership is not automatic.