Membership Form Please enable JavaScript in your browser to complete this form.Name *FirstMiddleLastCall Sign *Amateur Class *NoneNoviceTechnicianGeneralAdvancedAmateur ExtraFamily Call Signs Name, Call Sign, (N,T,G,A or E)Phone *Email *Would you like to be on an E-Mail listing to receive club information and updates? *YesNoSTREET ADDRESS: *City: *State: *Zip Code: *Membership Type *NEW FAMILY MEMBERSHIP (Covers all members in one household)NEW INDIVIDUAL MEMBERSHIP (Amateur)NEW ASSOCIATE MEMBERSHIP (Non-Amateur)Renewal FAMILY MEMBERSHIP (Covers all members in one household) $15.00/YearRenewal INDIVIDUAL MEMBERSHIP (Amateur) $10.00/YearRenewal ASSOCIATE MEMBERSHIP (Non-Amateur) $10.00/YearBalance of 1st year is FREE for new members. Donation Do you have a Club House key? *YesNoI want a key.Keys are ($1.00/Year) Key #Total Payment Payment TypeCashCheckPayPalPlease mail payment to: CCRAA PO Box 217 DOLLAR BAY MI 49922-2175. Please make checks payable to: CCRAA,Inc. Check #ARRL Member?YesNoComment or MessageMembership YearMemberships are 01/01-12/31.Date *QUESTIONS?: Contact Treasurer- Matthew Miller, (KD8OOS) at mthwmil@gmail.com.Submit