CAARA MEMBERSHIP APPLICATION

NAME________________________________________PHONE#_________________________

STREET ADDRESS___________________________________________________________

CITY_______________________________STATE_________________________ZIP______

CALLSIGN__________LIC.CLASS_________________EXPIRATION____________________

PREFERRED RADIO NAME__________________________________________________

ARRL MEMBER?______________ E-MAIL ADDRESS___________________________

**OPTIONAL INFO**

What amateur bands do you operate on?_________________________________________

Do you have: AM FM SSB CW RTTY PACKET OTHER

Do you have emergency power at your QTH?_____________________________________

Do you have mobile operating capability?__________Portable?______________________

Would you be interested in participating in CAARA Disaster Team activities?____________

DO NOT WRITE BELOW

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Member proposed by:____________________Amount paid________________________

Date application submitted____________ Tested with CAARA VE'S?_________________

Dues are $25.00 per year. As soon as your application is received along with a $10.00 one time application fee, your name will be read before the board at the next Board of Director's meeting. Then, according to CAARA by-laws, your name will then be read at the next Member's Meeting and also printed in the next REPEATER newsletter. You will then be mailed a dues notice from the CAARA Treasurer. Once your dues are received, you will be mailed your membership card and have the opportunity to request autopatch codes from the Repeater Committee.

Copy this form and mail to:

CAARA, PO Box 1144, Gloucester, MA 01930-1144

ATTENTION: MEMBERSHIP