High Desert Amateur Radio Club of NM
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Membership Application Form
Your Full Name
*
Street Address 1
*
Street Address 2
City, State, Zip Code
*
Call Sign, License Class, None or Pending
*
Date Ham Licensed was Issued?
Your Email
*
Birth Date: Month/Day/Year
Phone Number(s)
*
Type of Membership
*
First Year Free If VE Tested with HDARC
80 years Old, Free
Regular Dues Membership $25
Licensed Family Member $5
Unlicensed Family Member $5
Membership Category
*
80 Years Old, Free
A ONE Year FREE membership is granted to Hams who pass their first licensing exam with the HDARC VE Group
New Member of HDARC
Renewal - Renewing membership in HDARC
ARRL Member?
*
No
Yes
Payment Options
*
Pay via Check
PayPal
1st Year Member, FREE
80 years old, FREE
Your Ham Radio Areas of Interest
What Would You Like to Receive From Club Membership?
The application will be emailed to our Treasurer upon submission.
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Payment Methods
Applications for Renewals,
only need to supply Name & Call, then click on RENEWAL & Pay
Send Check to:
ROBERT E WITTER
940 Salt Cedar Court
Bernalillo, NM 87004
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