VARA - Valley Amateur Radio Association

New Member Application

Thank you for your interest in joining VARA. You can fill out the PDF Application and bring it to a meeting or use the web form below.

First Name:
Last Name:
Address:
City:
State:	Zip:
Phone:	xxx-xxx-xxxx
E-mail:
Birth Year:	YYYY
Call Sign:	If Applicable
License Class:
Bands Operated:	If Applicable
ARRL Member:
Volunteer Examiner (VE)?:
Please enter the answer for verification:
Information collected here will not be publicized or sold. All applications must be approved and dues paid before finalized. Members agree to follow all club guidelines, policies, and bylaws in meetings and club related activities.