Lake Amateur Radio Association

ON-LINE REGISTRATION FORM

Join L.A.R.A. by filling out this application.

Your application will be read at 2 cosecutive meetings.

If possible, plan to attend at least one of the 2 application reading meetings.

After the 2nd reading the members will on vote on your application.

If accepted, you will become a member upon receipt of your yearly dues.

L.A.R.A. is a non-profit Florida Corporation.

NAME

ADDRESS

CITY STATE ZIP

HOME PHONE  CELL PHONE

CALL SIGN LICENSE CLASS

E-MAIL ADDRESS

Membership Class: Regular: Family*: 

Husband and Wife both over 65 Yrs**: 

*Meets regular membership requirments and resides with a regular member. Family member dues are prorated 1/2 regular dues.

** Both meet regular membership requirements. The dues are one regular membership dues.

Regular membership dues: $25.00/year All dues to be paid by Jan. 31

New members joining after July 1;Dues are 1/2 regular dues.

Areas of Interest

 

I hereby agree to abide by all the rules and regulations of the Association.

AMATEUR OPERATIONS

              2M FM               440 MHZ FM

         HF VOICE                                APRS

        2M PACKET           440MHZ PACKET 

         HF DIGITAL (psk etc.)                    CW 

AMATEUR RESOURCES

HT 2 M      HT 440 MHZ      HT DUAL 
 
 Enter comments here

Signature


Your application will be read at 2 consective monthly meetings. It is requested that you attend at least one of these meetings.

Dues can be paid by mailing them to:

Dues can be paid by mailing them to: LARA

1146 Springdale Ave.

Leesburg, Fl. 34788

The Information you put in here will be sent to Paul, K3NON -Treasurer.

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