GREEN VALLEY AMATEUR RADIO CLUB

** REGISTRATION FORM **

CLUB DUES FOR YR 2019

Ten Dollars per Person (voting member)

Ten Dollars per Family Membership (one voting member)`

MAKE YOUR CHECK PAYABLE TO "G.V.A.R.C"

PLEASE SEND THIS FORM AND YOUR-BUCKS TO OUR CLUB TREASURER

BOB CALL K7RWC
Green Valley Amateur Radio Club
501 S La Posada Circle #195
Green Valley AZ 85614

ADDING THE AMOUNT OF $ _________ TO THE $10 REGISTRATION FEE
TOWARDS THE MAINTENANCE OF THE 2 METER AND 70 cm REPEATERS.

Member Information (please Print)

Name___________________________________________________

Call Sign_______________________________ ARRL member) Y or N

Name___________________________________________________

Call Sign_______________________________ ARRL member) Y or N

Mailing Address________________________________________

City_______________________________State_____Zip_______

Telephone Number_______________________________________

E-mail Address (s)_______________________________________