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SMCARA Membership Form
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* Indicates required question
First name
*
Your answer
Last name
*
Your answer
Prefer to be called:
Your answer
Call sign
*
Your answer
Class
*
E
A
G
T
N
Full address
*
1234 Example Street, Leonardtown, MD 20650 or P.O. Box 123, Lexington Park, MD 20653
Your answer
Phone number
*
123-456-7890
Your answer
Email
*
Your answer
Are you on the club email reflector?
*
Yes
No
No, please add me.
Are you an ARRL member?
*
Note: In order to maintain our ARRL affiliation, we need to have at least 50% of our members with ARRL membership. Please consider membership.
Yes
No
What month and year does your ARRL membership expire?
Ex. 01/2022 We would like to email you a reminder. Also, did you know if you renew through SMCARA we get to keep $15 for each new membership (or lapsed membership), and $2 for each renewal.
Your answer
Are you a volunteer examiner (VE)?
If yes, please check all other boxes that apply.
Yes
No
ARRL
W5YI
NRE
Dues schedule
Dues payment
*
Make payments payable to SMCARA
Mail check or money order to SMCARA P.O. Box 364 California, MD 20619
Give check, money order, or cash to Treasurer at SMCARA meeting
Already paid for current year
Submit
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