Verde Valley Amateur Radio Association Inc.
Family Membership Application

New   New Ham First Year Free   Renewal   Change   

When you click on "Submit" this form will be sent automatically to the VVARA via the internet. Then after you make out your check and address the envelope to the address below (New Ham First Year Free Disregard)....Drop it in the U.S. Mail Box or the Post Office.

First:    Last:
Call:   (or enter none)
email:   (or enter none)
Spouse First:    Spouse Last:
Spouse Call:   (or enter none)
Spouse email:   (or enter none)
Address:
City:   State:   Zip:
Phone:   
Cell Phone:   
Other Family Members:
........
List my Home Address and Phone in the Directory? Yes No
List my E-Mail address in the directory? Yes No
Are you an ARES/RACES Member? Yes No
Are you an ARRL member? Yes No

        Click Here to:        

Family Membership - $24.00

Family
Spouse
Associate
.       . $00.00

New Ham
First Year Free

Make Check payable to:   V V A R A
Mail Your Check to:
VVARA
Don Sears, Treasurer
703 Parsley Place
Prescott, AZ 86305

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Questions: E-MAIL VVARA Club   Return to: VVARA Home Page

The Verde Valley Amateur Radio Association Inc. Thanks you for your support