Submitted by AE3D on Wed, 01/23/2019 - 10:38 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. If you prefer to submit a printed form, please click on download Renewal Form. First Name * Last Name * Call Sign Email * Either long form or short form is acceptable. ARRL member NoYes NOTE: A copy of this submission will be sent to the above email address. 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 * PaymentVia * 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 all your family members losing their AARC Memberships! Your dues will decrease by only $15/yr. This action will result in all your family members losing their AARC Memberships! You must be a full time student. Your dues will decrease by $30/yr. You can now add your family members who are interested in Amateur Radio to your AARC membership. Your dues will only increase $15/yr. Please add the following family member(s) to my AARC Family Membership. To qualify you must be a full time student. But, by doing so your dues are cut in half to only $15/yr. You can now add all your family members with and interest in Amateur Radio to your AARC membership. Your dues will increase $30/yr. Please add the following family member(s) to my AARC Family Membership. Assuming your are no longer a full time student, you still pay only $30/yr. in AARC dues. Please remove the following individual(s) from my family membership in the AARC. (Be aware adult family members still qualify to be a part of your family membership.) Please add the following family members with an interest in Amateur Radio to my AARC Family Membership. First Added Family Member First Name Last Name Call Sign (If applicable) Second Added Family Member First Name Last Name Call Sign (If applicable) Third Added Family Member First Name Last Name Call Sign (If applicable) Fourth Added Family Member First Name Last Name Call Sign (If applicable) Fifth Added Family Member First Name Last Name Call Sign (If applicable) First Removed Family Member First Name Last Name Call Sign (If applicable) Second Removed Family Member First Name Last Name Call Sign (If applicable) Third Removed Family Member First Name Last Name Call Sign (If applicable) Fourth Removed Family Member First Name Last Name Call Sign (If applicable) Fifth Removed Family Member First Name Last Name Call Sign (If applicable) Mandatory Waiver By submitting this renewal form 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 behalf 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 abovefull and true digital signature. is my full and true digital signature. * Agreed Final Instructions Now that 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' what happens depends on the option you selected for payment. If you chose PayPal you will be given the option of paying your dues electronically. Cash and credit card payments will require an in person submission to our Tresurer, while if you elected to pay by check. You may do so by sending your personal 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".
