Membership Application Form

GREEN VALLEY AMATEUR RADIO CLUB REGISTRATION FORM

CLUB DUES FOR 2025 $20 per Person (voting member) $20 per Family Membership (one voting member)
MAKE YOUR CHECK PAYABLE TO "GVARC"
To pay by credit/debit card, check here  You will receive a link by Email you can use to make your payment
PLEASE SEND THIS FORM TO OUR CLUB TREASURER If paying by check, include that with this form Treasurer Green Valley Amateur Radio Club PO Box 1174 Sahuarita, AZ 85629
ADDING THE AMOUNT OF $________ TO THE ABOVE REGISTRATION FEE TOWARDS THE MAINTENANCE OF THE 2 METER AND 70 cm REPEATERS.
Member Information (Please Print)

Please Enter Your Information to apply to GVARC

* Indicates required field

Name *

First

Last

Call SIgn *

Class *

Email *

Phone Number *

ARRL Member *

Street Address *

City *

State *

Zip *

CLUB DUES FOR 2025
$20 per Person (voting member)
$20 per Family Membership (one voting member)

PLEASE SEND YOUR DUES TO OUR CLUB TREASURER
If paying by check,

Treasurer, Green Valley Amateur Radio Club
PO Box 1174
Sahuarita, AZ 85629

MAKE YOUR CHECK PAYABLE TO "GVARC"

To pay by credit/debit card, check here *

I wish to pay by Credit Card I will send my check to the Treasurer

You will receive a link by Email you can use to make your payment

Members can add a specified amount to their membership to be added to our repeater fund. TO THE ABOVE REGISTRATION FEE TOWARDS THE MAINTENANCE OF THE 2 METER AND 70 cm REPEATERS.

I plan to include

Additonal $$ for the Repeater Fund *

Additional Family Members wishing to be part of GVARC

First Name *

Last Name *

Call Sign *

Class *

Email Address *

Phone Number *

ARRL Member *

Remember - We appreciate you applying for membership, Your membership will be complete when your dues is received.

Submit

Mailing Address _____________________________________ City _____________________ State ______ Zip __________

GREEN VALLEY AMATEUR RADIO CLUB ** REGISTRATION FORM **

Please Enter Your Information to apply to GVARC

GREEN VALLEY AMATEUR RADIO CLUB REGISTRATION FORM