BMARA 
Membership 
Application
 
Please read the By-Laws before applying for membership 
Current members please use this form to update us of any changes 
Thanks 
Membership dues are $20.00 for individual and $10.00 for each additional Family member. 
 
 
                  New Member Application              Update Member Information 
 
Last Name        First Name         Amateur Call      
 
Street Address      
 
City         State         Zip      
 
Home Phone         Work Phone         Cell Phone      
 
Email         Email 2      
 
Age              ARRL Member - Note: You do not have to be an ARRL member to join 
 
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License Class:       Technician       Tech Plus       General       Advanced       Extra 
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Comments / Interest 
 
 
 
       
 
 
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