Membership Form

RICHMOND AMATEUR RADIO CLUB, INC.
(ARRL SPECIAL SERVICE CLUB)
P.O. Box 35279, Richmond, Va. 23235

APPLICATION FOR MEMBERSHIP

First and Last name
Enter call sign if you have one
Home, Cell
YYYY

Enter the name and address as you wish it to appear on the membership roster

Member of ARRL
Do you own a hand-held or battery powered transceiver
Would you be willing to have your name on the emergency call up list
Are you willing to teach or assist in the amateur radio school classes?

What amateur radio activities are you most interested in?

Dues are $11.00 Discounted to $10.00 for Cash or Check payment (Half Year)

NEW MEMBERS: Dues are based on Nov.-to-Nov. club year, (50% after May 1).
Dues: $22.00 per year, per person, payable to R.A.R.C. on Nov. 1st of each year.
Persons over the age of 81 are not required to pay dues to be a member. Select the Cash or Check Payment option.
Newsletter: "THE RICHMOND HAM" is published and e-mailed monthly to all members.

Submitting this form is your request to become a member of the Richmond Amateur Radio Club. Membership will be voted on at the next meeting.