On-line Application

Please enter your personal information then Submit this form. ( One person per form )

Regular Membership - $25.00 per year

Member Personal Information

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New Member Application Existing Member Renewal Junior Member

Call sign *

Class of License *

Email *

Note to club: *

Home Phone Number *

Cell Phone Number *

Changes in Personal Information since last year? *

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Address *

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Zip Code

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Additional Information about you and your Station

Please let us know how to expect your dues payment.

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Thank you for your application.

CLICK the SUBMIT button to send your application and see payment options.

Moreno Valley Amateur Radio Association (MVARA)Membership Application and Emergency Radio Equipment Survey