|Application For SFVARC Membership/Renewal|
Please print out this page and mail it with your dues.
Call ______________ License Class ________________
City __________________ State
______ Zip ________
Home phone ___________________________
Work phone ____________________________
ARRL member (Yes/No)? ____________
New member? ___________ Renewal? __________
Exclude your info from printed club membership roster? Yes ______ No _______
Full year $18.00 or if under age 18 - $6
Family membership: Each additional family member is charged the under 18 age rate.
Please make checks payable to SFVARC.
Mail this form and your dues to:
San Fernando Valley ARC
P.O. Box 280517
Northridge, CA 91328
Thank you for your interest and participation in the SFVARC.