Membership Application

You can use this form to submit your application for Dallas Amateur Radio Club membership, and OPTIONALLY pay via Paypal

A Paypal account is not required; we can also take a credit card online (via PayPal) or you can wait and pay with cash or a check in person.

At our next regularly scheduled club meeting, all applications are reviewed and approved by the attending membership. However: All Membership Applications must be paid-in-full before being submitted to a vote. So either Pay Online (Paypal Account or Credit Card), by Postal Mail (be sure and mention your name and when you submitted an application), or in Person.

You may also print an Application Form using Adobe Acrobat. and fill it out in the conventional way. Fill out this printable form, and then mail it with your check to the address at the bottom of the form. Or better yet, bring it to the next DARC Business Meeting with your check for dues. You can become a member the same night!

Please provide the following contact information
Your information is not retained by this web site unless you're approved!

FCC CallSign	Enter 'NONE' if not (yet) licensed
Year First Licensed?
Current License Class	None as yet Amateur Extra Advanced General Technician Novice
First Name
Last Name
Address 1 (Number, Street)
Address 2 (Apartment, Suite)
City
State	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachussetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code
Home Phone
Work Phone
Email
Select Membership Type	Full Voting Membership A valid, FCC issued, Amateur Radio License Required Family At least one valid, FCC issued, Amateur Radio License required in Family Associate Non-Voting Membership Open to anyone interested in Amateur Radio
Are you a member of the ARRL?	Yes, I am an ARRL Member Yes, I am an ARRL Life Member No, but send information No, I have no interest
List any previous Amateur Radio Callsigns
Are you sponsored by a DARC member? (Not Required)
What is your occupation?
Other Hobbies or Interests?
Comments: What are your preferred Ham activities? What types of programs would you like to see at Club Meetings? Maximum 1000 characters, characters left.
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	DARC Dues for Month Membership Application Submitted
Membership Type	January - June	July - November	December *
Full Membership	$25.00	$12.50	$25.00
Family Membership	$30.00	$15.00	$30.00
Associate Membership	$25.00	$12.50	$25.00
	* Amounts shown reflect dues payment for next full consecutive year. If you join in December, your dues will be considered paid the following January. Please submit your initial Dues payment with your application. Only applications submitted with an appropriate DARC Dues payment can be presented to the membership for acceptance.

Send your application and check for your membership dues to:
Dallas Amateur Radio Club
Attn: Membership Committee
P.O. Box 744266
Dallas, Texas, 75374-4266

Revised: January 15 2012 11:52:25

Copyright (c) 1998-2012 W5FC, The Dallas Amateur Radio Club. All rights reserved.

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