CVARC Membership Request

CVARC Membership Application.

For submission through the Web Site - A PDF form should be available for download as well.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Home Phone Number

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
Email*
example@example.com
Ham Call Sign
Ham license type
Basic, basic with honors, Advanced, etc
Are you a current RAC member?*

YesNo
Suggestions?
Enter anything else that may be relevant to you. Or maybe contact info of another person that may be interested in our club.
What happens after the application is submitted?

Once the application has been processed you will be contacted on the status of your application and on how to pay your dues. Please be patient, if you don't get a response within a few weeks send a reminder email to ve7cvw@shaw.ca
Should be Empty:

CVARC Membership Application.