Verde Valley Amateur Radio Association, Inc.

Family Membership Application

When you click the "Submit" button at the bottom, this form will be sent to the VVARA.
Then send your check to the address below or use PayPal. (New ham: First year is free!)


Full Name*:
FCC Callsign*:   (or enter none)
Email*:   (or enter none)
Spouse Name:
Spouse Call:   (or enter none)
Spouse Email:   (or enter none)
Address:
City:   State:   Zip:
Phone*:   
Other Family Members:
Comments:
Date:



Are you an ARES/RACES Member? Yes No
Are you an ARRL member? Yes No

* Name, callsign, phone number and email address are required.

        Click Here to:        



Family Membership is $20 per year.
New ham first year is FREE!
Make Check payable to:    V V A R A


Mail Your Check to:
VVARA
LARRY JOHNSTON, TREASURER
7100 E COURAGE BUTTE TRAIL PRESCOTT VALLEY, AZ 86315-4640

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Questions: E-MAIL VVARA Club   Return to: VVARA Home Page

The Verde Valley Amateur Radio Association thanks you for your support!