SECARS Membership Application

Important note: The fiscal year for SECARS begins on November 1st of each year. We welcome new members to join at any time during the year. However, per our constitution and bylaws dues for the new fiscal year are due on November 1 (and must be paid within 4 months) from all members, including those who have joined less than 1 year from that date. Please bear this in mind if you plan on applying for membership in SECARS prior to November 1.

First Name *

Last Name *

Call Sign *Enter "None" for Associate Member

License Class *

NoneTechnicianGeneralAdvancedExtra

Street Address *

Apartment, suite, etc

City

State

ZIP Code

Email Address *

Phone

ARRL Member *YesNo

ARES Member *YesNo

Membership Type *NewRenewal

Membership Level *IndividualFamilyYouthSelect Individual for over 18, Youth for under 18 or Family for multiple members in household

Date of Birth *

Number of Additional Family Members Over 18 yrs of Age *Additional family members over 18 are $5 per year. Do not include the primary applicant.

Number of Family Members Under 18 Years of Age *Family members under 18 are free.

Family Members - List Name and Call

Special Interests in Amateur Radio

Add a donation

USD

OPTIONAL - Add a donation to your membership dues

I prefer my donation to be anonymousYesNo

Amount Due

CommentsPlease enter any comments that you wish to include on your application.

Cover SECARS' PayPal fees for this orderYesNo

Please do not fill in this field.

2021-08-23