BVARA 2008 Membership Application


Today's Date____________
Callsign______________ Clas: T G E Expires______________

Name:______________________
Address_____________________
City:__________________ St:__________Zip:____________
Phone(___)_________________ Date of Birth ________________
Email address__________________________________

_______Full Membeship $20.00
_______Student Membership $15.00
_______Associate Membership $10.00
_______Spouse or child under 21 in home $5.00



Make check or Money order payable to: BVARA
BVARA Membership Department
P.O. Box 424
South Heights, PA. 15081 . 15081