Submitted by AE3D on Sun, 12/10/2017 - 07:57 1 Start 2 Preview 3 Complete Please Read Membership renewals are based on the calendar year. Therefore renewals made between January 1 and October 31 will be applied to the current calendar year. Renewals made in November or December will be applied to the following calendar year, but will commence on the date of the renewal. The club is not prepared to accept renewals or dues for a subsequent year prior to November 1. Therefore any such applications will not be accepted, and such dues will be refunded to the applicant. Mandatory Waiver By submitting this application I agree to abide by the Bylaws and rules of the Anne Arundel Radio Club, Inc.("Club"). I know that participating in Club activities and using Club facilities are potentially hazardous and that I should not enter into or participate in such activities unless I am physically able and properly trained. I assume all risks associated with my participation and use, including volunteering but not limited to falls, contact with other participants, the effects of the weather, the condition of facilities, and all such risks, property damage, illness, or injury being known and appreciated by me. I have read and understand the waiver, and knowing these facts, and in consideration of your acceptance of my application for membership, I for myself and anyone entitled to act on bahalf of myself, waive and release the Anne Arundel Radio Club Inc. ("club officers and directors"), American Radio Relay League, and all sponsors, their representatives, members and successors from all claims or liabilities of nay kind arising out of my participation in club activities, and use of club facilities even though that liability may arise out of negligence or carelessness on the part of the persons identified in this waiver. Further, I hereby grant full permission to any of the foregoing to use any image of myself, minors I have signed for or any photographs, videos, etc. and any other record of club events for legitimate purposes. By entering my full legal name in the Digital Signature box below, I am affixing my Digital Signature to the above terms. Digital Signature * By checking this box I affirm that the name listed above is my full and true digital signature. * Agreed First Name * Last Name * Call Sign Email * Either long form or short form is acceptable. A copy of this submission will be sent to this email addrsss. What has changed? Call Sign Phone Number(s) Address Legal Name Have any of the above items changed since in the past year? Prior Call Sign * New Home Phone Private New Work Phone Private New Cell Phone Private New Address * City * State * Zipcode * Prior First Name * Prior Last Name * Payment Method * Paypal Credit Card Check Cash Membership Type * Retain Regular Membership ($30) Retain Family Membership ($45) Retain Student Membership ($15) Change Membership Type Type of Membership Change * Change from Family to Regular Membership ($30) Change from Family to Student Membership ($15) Change from Regular to Family Membership ($45) Change from Regular to Student Membership ($15) Change from Student to Family Membership ($45) Change from Student to Regular Membership ($30) Add one or more family members to your Family Membership ($45) Remove one or more individuals from a Family Membership ($45) NOTE: To become a student member you must be of high school age or younger, or be registered as a full time student at an accredited college or university. NOTE: To qualify for a family membership you must add at least one spouse, parent, child or sibling on the membership. They need not be a licensed amateur radio operator, but should show an interest in the hobby. This action will result in your family members losing their AARC Membership! Please add the following to my AARC Family Membership. First Family Member First Name * Last Name * Call Sign (if applicable) Relationship to You * Spouse Child Sibling Parent Second Family Member First Name Last Name Call Sign (if applicable) Relationship to You Spouse Child Sibling Parent Third Family Member First Name Last Name Call Sign (if applicable) Relationship to You Spouse Child Sibling Parent Fourth Family Member First Name Last Name Call Sign (if applicable) Relationship to You Spouse Child Sibling Parent Fifth Family Member First Name Last Name Call Sign (if applicable) Relationship to You Spouse Child Sibling Parent Please remove the following from my AARC Family Membership! First person to be removed from my family membership! First Name * Last Name * Call Sign (if applicable) Second person to be removed from my family membership! First Name Last Name Call Sign (if applicable) Third person to be removed from my family membership! First Name Last Name Call Sign (if applicable) Fourth person to be removed from my family membership! First Name Last Name Call Sign (if applicable) Fifth person to be removed from my family membership! First Name Last Name Call Sign (if applicable) Payment After you have completed this form, and pressed 'Prefiew' below you will be given a chance to review your selections and return to edit them before pressing 'Submit'. Once you do press 'Submit' you will be given the option of paying your dues electronically. Alternately credit and credit card payments will require an in person submission to our Tresurer. If you have not selected one of those three options, please mail your check, on which you have clearly printed your call sign (if licensed), to: Anne Arundel Radio Club PO Box 308 Davidsonville Md. 21035 After You Are Done After you have completed your membership renewal would be an excellent time to fill out our "Yearly Survey". It can be found under "Member > Yearly Survey" which is right above "Membership Renewal". CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. What code is in the image? * Enter the characters shown in the image.