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- BVARA 2010 Membership Application
Today’s Date____________
Callsign______________ Clas: N T T+ G A 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
_______ARRL Membership $39.00
Are you a member of the ARRL? YES _____ No _____
Make check or Money order payable to:
BVARA
BVARA Membership Department
P.O. Box 424
South Heights, PA. 15081
Thank you!
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