SISKIYOU COUNTY
AMATEUR RADIO ASSOCIATION

MEMBERSHIP APPLICATION

Membership in the Association is $10.00 per family, a one-time fee.
The yearly dues are $20.00.This makes a total of $30 for the first payment.
Each additional Ham in the household may acquire voting privileges by
paying $5.00 per year.

To become a member of the Siskiyou County Amateur Radio Association,
please fill out this form and return it with your check or money order for the
appropriate amount.
Make check or money order Payable to SCARA.

Yes ..… I want to become a member of SCARA!

Member ARRL since __________________ (not required)

NAME ______________________________________________ CALL ____________

SPOUSE ____________________________________________ CALL ____________

NAME ______________________________________________ CALL ____________

MAILING ADDRESS ____________________________________________________

CITY ________________________________________ STATE ______ ZIP ________

PHONE NUMBER ____________________________________________

E-MAIL ADDRESS ____________________________________________

I am interested in the following:

CDF VIP (Volunteers in Prevention) ____
SCAREV (Siskiyou County Amateur Radio Emergency Volunteers) ___

Please return this application to
:

Frank Cross, N6MRX
SCARA Membership Group
701 Meiss Lake Road
Macdoel, California 96058
530 398 4661