Orange Park Amateur Radio Club
Membership Application / Renewal Form
This form can be completed online. Payment can be submitted online with a credit card, or you can complete the application online and may payment with cash or check at the next OPARC Meeting
Membership Application for:
*
Please Select
2024
2025
2026
2027
2028
Membership Type
*
New Membership
Renewal Membership
Information Update (or currently a Life Member)
Passed *Technician Exam* at OPARC or LAUREL VE Testing Session
ARRL Member?
*
Yes
No
Lifetime Member
Call Sign
*
Birthdate
*
/
Month
/
Day
Year
Date
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Number
Please enter a valid phone number.
Mobile Number
Please enter a valid phone number.
Email Address
*
example@example.com
Pay Online
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Annual Membership
Annual Membership for OPARC is $20.00 per year. A $1.00 convenience fee is charges per year for processing.
$
21.00
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Item subtotal:
$
0.00
Additional Donation to OPARC
Enter the quantity of an additional donation you wish to make to OPARC in increments of $10.00.
$
10.00
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Item subtotal:
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Pay By Cash or Check / Current Life Member
Submit this application and pay by check or cash at the next meeting - Membership is not active until payment in full is received.
Current Life Member
Please verify that you are human
*
Submit
Should be Empty: