Orange Park Amateur Radio Club

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:*
New MembershipRenewal MembershipInformation Update (or currently a Life Member)Passed *Technician Exam* at OPARC or LAUREL VE Testing Session
YesNoLifetime Member
Call Sign*
Birthdate*

MonthDayYear
Date
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / 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

Annual Membership

Annual Membership for OPARC is $20.00 per year. A $1.00 convenience fee is charges per year for processing.

$21.00 Quantity
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 Quantity
Item subtotal:$0.00

Total

$0.00

Credit Card

Apple Pay

Google Pay

Cash App Pay

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*
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