Oregon Tualatin Valley Amateur Radio Membership Application Form

Submit a completed form for each family member who will become a member.
All family members must reside at the same address.

Membership Annual Rate $25 per year and $30 for family.
All family members need to reside at the same address.

Please mail your payment to:
OTVARC
PO Box 5471
Beaverton OR 97006-0471

Attention: Membership

Member Information

Additional Questions

We will use this information to determine if you are eligible for Life Membership and to celebrate your life.

AFFILIATIONS

Please enter the title and section
If VE Certified by another organization, please include that in the next box.
Please enter the other organization that you are VE Certified with. Thank you!

What are your Interests?

Please check below any interests that you have, would like to participate in or want to know more about.

Click on SUBMIT to register your Membership.

Please click on SUBMIT. You will be directed to another page where you can add another family member. Thank you!

Questions?
Membership – Everett Curry, W6ABM at w6abm@arrl.net
Online Form – Melissa Nelson, WA7MEL at wa7mel@arrl.net

Issues with the website?
Email webmaster@otvarc.org
Contact OTVARC: CLICK HERE

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