S.A.R.A. Membership Application


Name:
Address:
City: State: Zip:
Amateur callsign: Home phone: Work phone:
E-mail address:
Website:


If you only recently passed your ham test, some of these questions may not apply to you.

Are you an ARRL Member?:
Year you were first licensed:
Your current class of license:

Amateur radio interests:

Phone
CW

SSB

Satellite

Packet

FM

PSK31

Amateur Television

What type of equipment do you currently have?:

HF

VHF

UHF

Is your equipment emergency powered?:

This application is to be filled out and submitted to a member of the membership committee.
The form will be presented to the membership at the next regular meeting for their approval or rejection
according to the by-laws. Applicant will be notified within 10 days of the decision of the membership.
Dues are $20.00 per year, payable upon approval of the application.

I agree, upon approval of my application, to abide by the constitution and by-laws of this association.

Signature:

 
   





To contact club for more information:
Phone: 501-767-1908
Email: w5lvb@arrl.net
Radio: 146.880(-) Repeater / Tone 114.8