High Desert Amateur Radio Club of NM

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
First Year, Free
New
Renewal

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.

Payment Methods

Applications for Renewals:
You only need to complete the fields marked with * and press submit at the bottom.

Remember to return to this page and click PayPal to submit your dues.

Send Check to:
David Ham
5052 Mira Vista Dr NE
Rio Rancho, NM 87144