BRARAMembershipApplication2020

Boca Raton Amateur Radio Association/R PMembership Application and Renewal FormDate:Full Membership $35.00Associate Member $10.00(Member without FCC license-cannot vote or hold office)☐Family Member S5.ooLife Membership $500.00(Family member with FCC license)☐New Member☐RenewalName:Call Sign:Address:Telephone Number:City:State:Zip Code:E-mail Address:Cell NumberARRL Member:OYes⊙NoBirthday:Month:Day:License Grade:Expiration Date:Family MembersName:Call Sign:Comments:Name:Call Sign:Comments:Click on your interests:☐Rag Chewing▣Public Service▣HF▣VoiceBuilding Experimenting☐Field Day▣Dxing▣VHF▣CW☐Hamfests☐Contesting☐Award Chasing□UHF▣Digital☐Packet☐OtherAs a member of the Boca Raton Amateur Radio Association,I have read and agree to abide by all of the FCCrules as well as the by-laws of the organization.Signature:Date:(The board of directors reserves the right to refuse any applicant without stated cause.)Return To BRARA SecretaryBoca Raton Amateur Radio AssociationP.0.Box480162Delray Beach,FL 33448-0162Asof2020-07-23