ACARA-VT
Addison County Amateur Radio Association

Membership Application

* Indicates required info, please supply so we don't need to hold up your application.

1. Print this form
   Try filling out in your browser and printing; or print & fill out manually, then
2. US Mail it, with your dues ($10 annually, calendar year basis, check payable to Jim Dunn, Treasurer, ACARA), to:

Jim Dunn, ACARA Treasurer
681 Maple St
Vergennes VT 05491


 

Name:*

 

Mail Address:*
City, State, Zip:* ,

 

Contact info:
Almost all our club communication is via email, so please include an email address you check often so you don't miss out on something.

 



  phone: *

 





New    Renewal

 

Interests:
               

                   

      



       


Anything else we can help you with?




Welcome to ACARA!