2010-2011 L.C.A.R.A. Membership Form
PLEASE PRINT CLEARLY:
CALL SIGN:______________NAME:_________________________________

ADDRESS:_____________________________________________________

CITY, STATE, ZIP:________________________________________________

PHONE:______________________LISCENSE CLASS:__________________

SKYWARN NO.:________________RACES NO.:_______________________

ARES MEMBER YES___NO___ EMAIL:______________________________

ARE YOU AN A.R.R.L. MEMBER: YES___NO___ 





L.C.A.R.A MEMBERSHIP IS $12.00 PER YEAR, RENEWABLE EACH YEAR ON OCTOBER 1ST.  FAMILY MEMBERSHIP $20.00.  ASSOCIATE MEMBERSHIP $4.00.  IF YOU WISH AN AUTODIAL NUMBER FOR THE REPEATER, THERE IS AN ADDITIONAL $3.00 CHARGE
(financing available)



Fill out this form  and mail it with your check to the address below:

Lapeer County Amateur Radio Association
P.O. Box 12
Hadley, MI 48440-0012