Submitted by AE3D on Tue, 09/08/2020 - 14:28 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 Membership Renewal Forms will not be accepted, and any such payments made will be refundedt. If you prefer to submit a printed form, please click on download Membership Renewal Form. In the first sections of our Membership Renwal Form we ask for your name, call sign, current email address, ARRL membership status, and how you plan to pay for your renewal. First Name * MI Last Name * Call Sign Nickname Email * Either long form or short form is acceptable. Payment Via * PayPal Check Cash PayPal payments may be made online. Check may be mailed to AARC, PO Box 308, Davidsonville, MD 21035. In additon cash as well as checks may be hand delivered to the Treasurer, Assistant Treasurer or Secretary at any in person Membership Meeting. Checks can be accepted at the Holiday Party, or by special appointment with the Treasurer. What Has Changed: Address Phone Number(s) Call Sign Have any of these thing changed over the past year? . Legal Name ARRL Membership status License Upgrade New Address * New City * New State * New Zipcode * New Home Phone Pvt New Work Phone Pvt New Cell Phone Pvt My Most Recent Previous Call Sign Was: * Previous First Name * Previous MI Previous Last Name * I am an ARRL Member * Yes No I upgraded my license to: * Technician General Amateur Extra Membership Desired * Regular ($30) Family ($45) Student ($15) This is the same type of membership I currently have * Yes no Converting to a Family Membership To convert to a Family Membership you must have at least two related or romantically involved individuals residing at the same address. This form is capable of accepting up to 6 related adults, and up to 6 minor children of the adults in the Family Membership provided that a parent or guardian sign the required waiver on behalf of the minor child. Provisions are made for both using this form. If you are converting from a Family Membership You should be aware that when you remove yourself from a Family Membership and renew as a Student or Regular member, you may be leaving your fellow family members unqualified to retain their Family Membership, .As well they may not even know their membership is about to lapse. They may if still qualified retain the Family Membership by simply renewing it. But if not, they have the option of converting to Regular membership or possibly Student membership if qualified. The important part is that you must be the one to advise them of their options as a result of your leaving the Family Membership. I am a full time student at * Remove First Family Member Yes No First Name * MI Last Name * Call Sign Remove Second Family Member Yes No First Name * MI Last Name * Call Sign Remove Third Family Member Yes No First Name * MI Last Name * Call Sign Remove Fourth Family Member Yes No First Name * MI Last Name * Call Sign Remove Fifth Family Member Yes No First Name * MI Last Name * Call Sign Remove Sixth Family Member Yes No First Name * MI Last Name * Call Sign Minor Children We are happy to add your children to your family membership. Amateur Radio is a great family hobby. Be aware our Bylaws require that as a parent or guardian of those minor members you make part of your family membership, you must agree to our Mandatory Waiver on their behalf. Also know that when they reach age 18 our Bylaws require that to retain that membership they must sign the same waiver as found below, so we are asking for their date of birth so we can calculate when that will happen. Add First Minor Child Yes No First Name MI Last Name Call Sign Nickname Date of Birth Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20202021 Add Second Minor Child Yes No First Name MI Last Name Call Sign Nickname Date of Birth Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20202021 Add Third Minor Child Yes No First Name MI Last Name Call Sign Nickname Date of Birth Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20202021 Add Fourth Minor Child Yes No First Name MI Last Name Call Sign Nickname Date of Birth Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20202021 Add Fifth Minor Child Yes No First Name MI Last Name Call Sign Nickname Date of Birth Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20202021 Add Sixth Minor Child Yes No First Name MI Last Name Call Sign Nickname Date of Birth Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20202021 Privacy Be aware that the information you have provided above will not be shared with anyone outside the membership of the Anne Arundel Radio Club. When you fill out this form you are provided the option to select a 'Private' option for each phone number. If so marked that phone number will not be distributed in any manner to the general mamebership, but rather will be accessible only by members of the Board. We take your privacy very seriously here and as such your personal information is only available to club officers and the webmasters. 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 agree to hold harmless the Anne Arundel Radio Club Inc., it's officers, and directors, as the result of any publication of any image of myself or minors I have signed for, and not authorized by the Anne Arundel Radio Club Inc., including photographs and images used in whole or in part, or as modified by unauthorized individuals. 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 If there is a second adult member who is to be a part of this membership, then their agreement to the waiver text may be affirmed by addition of their digital signature and the affirmation that they have agreed to the waiver above.. Add Second Adult Yes No 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 If there is a third adult member who is to be a part of this membership, then their agreement to the waiver text may be affirmed by addition of their digital signature and the affirmation that they have agreed to the waiver above.. Add Third Adult Yes No 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 If there is a fourth adult member who is to be a part of this membership, then their agreement to the waiver text may be affirmed by addition of their digital signature and the affirmation that they have agreed to the waiver above.. Add Fourth Adult Yes No 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 If there is a fifth adult member who is to be a part of this membership, then their agreement to the waiver text may be affirmed by addition of their digital signature and the affirmation that they have agreed to the waiver above.. Add Fifth Adult Yes No By checking this box I affirm that the name listed above is my full and true digital signature. Agreed By entering my full legal name in the Digital Signature box below, I am affixing my Digital Signature to the above terms. Digital Signature If there is a sixth adult member who is to be a part of this membership, then their agreement to the waiver text may be affirmed by addition of their digital signature and the affirmation that they have agreed to the waiver above.. Add Sixth Adult Yes No 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 Payment After you have completed this form press the 'Preview' button 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 via PayPal. If you chose to pay by cash or check you may do so directly with the Treasurer, Assitant Treasurer or in their absence the Secretary at any in person AARC meeting. Please be sure your call sign (if licensed) is clearly written on your check, or if you make payment in cash, please ask for and keep your receipt. Payment by credit card may be made at the Holiday Party, or by making special arrangements with the Treasurer. If you wish, you may mail your check with your call sign (if licensed) clearly visible, to:: Anne Arundel Radio Club P.O. Box 308 Davidsonvillle, MD 21035 After You Are Done If you are a seasoned "ham" you might want to take the opportunity to fill out or "Yearly Survey" found on the "Members" submenu. You will have access to that page as soon as your membership is finalized. If you are new to the hobby, we suggest you operate for a while before completing the survey as it may some take time to develop your interests. NOTE: A copy of this form will be emailed to the address you entered above. It should serve as a receipt that we have received your application.
