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.
Name (First, Last Name)
Are you an ARRL Member?
Are you an ARRL Volunteer Examiner?
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
Send me a copy of my responses.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service