HCARC - Membeship Application Form

Primary member_________________________________Call Sign________Class_____

Family member__________________________________Call Sign________Class_____

Family member__________________________________Call Sign________Class_____

Address_________________________________________________________________

Phone________________________Email______________________________________

Member of ARRLLife    ____YES   ____NO              Date of Application ____/_____/____

Regular ________YES_________NO

VE Certified_______________YES_________NO

Indicate level of membership
_____Rejoining member                                          $20.00
_____Rejoining member plus one family member      $24.00
_____Rejoining member plus two family members    $28.00

New Member as of
_____January 1 through March 31               $20.00
_____April 1 through June 30                      $15.00
_____July 1 through September 30              $10.00
_____September 1 through December 31    $ 5.00

New Member plus 1 family member as of
_____January 1 through March 31               $24.00
_____April 1 through June 30                      $18.00
_____July 1 through September 30               $12.00
_____September 1 through December 31     $11.00

Family member is defined as a family member living under the same roof.
Members presently on the roster will pay the $20.00 upon rejoining even if it is later in the year.

Checks should be made to:
Hill Country Amateur Radio Club
P.O. Box 2003
Kerrville, TX 78029