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Membership  Application

Name:  Phone:
Address:
City:   State  Zip
Call sign: License Class: License exp. date:
Preferred radio name:
Are you a member of ARRL?  Yes No     Are you a V.E.?  Yes No
Your email

Note: Items underlined or in RED are required fields.

* * * * * * * * * * * * *   OPTIONAL INFORMATION   * * * * * * * * * * * * *

Your date of birth: (Used to determine your eligibility for "Retired" status membership.)
Which amateur bands do you operate?
Which modes do you use? AM FM SSB CW RTTY Packet SSTV
Other modes used:
Do you have emergency power? Yes No  If yes, what type?
Do you have mobile operating capability? Yes  No   Portable
How did you find out about CAARA?
Why do you want to join?
What do you expect to get from CAARA?

Would you be interested in participating in any of the following CAARA activities?
Disaster Team    V.E.C. Program    Club Officers    Field Day    Repeater
Flea Market    Social Committee    Newsletter    Sunshine Committee
CAARA Public Service activities    Club Station.

Regular Dues are $30.00 per year.  Other Membership categories are available, such as Retired, Family, etc.  If you are interested in one of these categories, please send email to the Membership Committee (see email below).  After acceptance into membership, you will be mailed a dues notice from the CAARA Treasurer.

Instructions: You may submit this application 'on-line' immediately if you wish.  As soon as your application is approved, you will receive a Dues Invoice.  Or, if you prefer to mail the form with your dues, you may fill it in, then print out the form and mail it with your Dues.  This form will print correctly on 8 1/2 x 11" paper in most browsers.  If it does not print correctly in your browser, click here to download a pdf version.  Our mailing address is:

Cape Ann Amateur Radio Association
6 Stanwood Street
Gloucester, MA 01930
Tel: 978 282-7645

Every Sunday from 10:00 AM - 12:00 noon we have coffee and goodies.  Regular membership meetings are held on the first Wednesday of the month.  Through CAARA's V.E.C. program, amateur radio exams are held on the second Sunday of each month at 12:00 noon at the CAARA clubhouse.  Guests are always welcome; our clubhouse is located at 6 Stanwood Street, Gloucester.  Stop in and meet some of our members.

73 and thank you very much for your interest in the Cape Ann Amateur Radio Association.


Rick Maybury,
Membership Committee Chairman

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