Membership Application Form – Lake Amateur Radio Association

To apply for membership to LARA, please fill out the below form. It will be submitted to our membership committee, and officers.
A LARA representative will reach out to you to confirm receipt and let you know your next steps to join!

-Membership Dues-
-New member dues are $75 annually
(renewal is $75 each calendar year)
-Returning members who expired from the rolls $75 + $25 = $100 (plus PayPal fee)

New member dues regardless of time of year also pay a one time $25 process fee. $100 Jan-Jun
New member dues joining after July 1st: $37.50 + $25 (plus PayPal fee if applicable)

Benefactor memberships are available for a rate set by the LARA board of officers, contact us for details!

Full Name

Street Address

City

State

Zip

Phone

E-Mail

Call Sign

License Class (if not yet licensed select "none")

Membership Type (Meets regular membership requirements and resides with regular member. The dues are prorated ½ regular dues each)

Areas of Interest

I hereby agree to abide by all the rules and regulations of the Association. Dues must be paid within 90 days of membership approval or such approval is void. Typing your legal name below carries the same legal weight as a hand printed or scripted signature

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