RICHMOND AMATEUR RADIO CLUB, INC.

( ARRL SPECIAL SERVICE CLUB)

 

P.O. Box 35279, Richmond, Va. 23235

Founded in 1929

APPLICATION FOR MEMBERSHIP

 (Please print)

 

NAME: ________________________________________  CALL SIGN: ____________

 

ADDRESS:_____________________________________   PHONE: ________________

 

CITY:       ______________________________________  STATE: _____  ZIP: ______

Enter the name and address as you wish it to appear on the membership roster.  For telephone indicate whether it is home or office.

E-mail Address: ___________________

 

MEMBER OF ARRL?  Yes _____      No _____      CLASS OF LICENSE: _____________

 

Emergency Operations:  Would you be willing to have your name on the emergency call up list, and be called if needed?  Yes ______      No ______

 

Do you own a hand-held or battery powered transceiver?  Yes ______      No ______

 

Please identify the frequency bands on which your battery-powered transceivers(s) can operate: _________________________________________________________________________

 

Are you willing to teach or assist in the amateur radio school classes? Yes _____  No _____

 

What amateur radio activities are you most interested in? (Circle one)   CW   DX   VHF   RTTY   PACKET  

TRAFFIC HANDLING   SATELLITES   CONTESTING  

OTHER: ______________

 

List any special skills that you have that could be used to benefit the club? ______________ __________________________________________________________________________

 

Are you interested in serving on any special committees: (i.e. Social, history or programs)? __________________________________________________________________________

 

 

APPLICANT’S SIGNATURE: _____________________________________________

 

Application Date:  _______________               Date Application Approved: ____________

Dues Enclosed:   CASH _____________          CHECK ___________

 

NEW MEMBERS:  Dues are pro-rated based on Nov. to  Nov. club year.

Dues: $15.00 per year, per person, payable to R.A.R.C. on Nov. 1st of each year.  Those under age 18 dues are $10.00

 

REPEATER: Club station W4ZA, frequency 146.34/.94, this is an open repeater.

Newsletter: “THE RICHMOND HAM” is published and mailed monthly to all members.

Club Website: http://www.rarclub.net