Online Membership Application

Thank you for your interest in joining STARC. All funds received go toward maintaining STARC's repeaters, club insurance, and meeting location costs.

Joining or renewing your STARC membership is easy. Our online Membership Application allows you to join online and pay via PayPal (no PayPal account required) or by mail with payment via check.

If you have any questions, please feel free to contact us at

Applicant Information:

Call Sign:			License Class:
First name:			Last name:

Street Address:

City:			State / Province:			Zip Code:
Home Phone:			Mobile Phone:			Email:

Are you a registered Volunteer Examiner?

W5YI VE:
ARRL VE:

Are you are a member of the ARRL?

Yes:
No:

Type of Membership:

	Active Membership: $15.00 annually
	Family Membership: $20.00 annually (Please list other family members in section below)

Family Member #1:	Name:	Family Member #2:	Name:
	Call Sign:		Callsign:
	ARRL Member?		ARRL Member?
Family Member #3:	Name:	Family Member #4:	Name:
	Call Sign:		Callsign:
	ARRL Member?		ARRL Member?

	Supporting / Associate Membership: $15.00
	Honorary / Lifetime Membership: Dues Exempt

In addition to membership, would you like to make a tax deductible donation to STARC?

Yes		Donation Amount:
Not at this time

Comments / Additional Information


Payment Method:
Pay by Mail with Check Pay Online with PayPal (Credit or Debit card)