NorthEast Arkansas Radio Club Form Submission
Welcome and Thank you for your interest in join the NEA-RC! Please fill out the application and a member will contact you after submission of the application.
Email address *
Name (First, Last Name) *
Callsign *
License Class *
Address *
City/State *
Phone *
Are you an ARRL Member? *
Are you an ARRL Volunteer Examiner? *
Membership Category *
If you select "Other", please specify (donation, etc.)
Please make checks payable to NEA Radio Club *
If paying by mail, please mail checks to: JOAN MITCHELL, Attn NEA Radio Club, 141 CR 122, Bono, AR 72416
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