YARC

YAVAPAI
AMATEUR
RADIO CLUB


YARC MEMBERSHIP APPLICATION FORM

This is the short form to apply for membership.
Fill out the information below and send in a check for $20.00 to:
YARC P.O. Box 11994, Prescott, Arizona 86304-1994
After you SUBMIT this form and the club Treasurer receives your funds,
you will be voted in by club members at the next meeting.
NOTE: After pressing the SUBMIT button you will be directed
our Shopping Cart to use PayPal if you choose.
NOTE: If you do not have a call sign yet, enter "NONE".
NOTE: (*) Are Required Fields

Call Sign (*)
First Name (*)
Last Name (*)
Primary Phone (*)
Secondary Phone
Primary Email (*)

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