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CVARC Member Data Update
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First Name
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Your answer
Last Name
*
Your answer
Call Sign (Enter NA if you do not have one)
*
Your answer
Mailing Address Line 1
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Your answer
Mailing Address Line 2
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Email Address (Enter NA if you do not have one)
*
Your answer
Would you like added to our email list and Google Discussion Groups? (Both require a valid email address)
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Yes
No
I don't have an email address.
Are you a current member of CVARC (dues paid within last 12 months)?
Yes
No
No, but I am interested in becoming a member or renewing my membership. Send me more information
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