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New Member Signup

Please complete the following form to request a WARC membership. Dues are $25.00 per year. Payment options will be provided on step 2 (Paypal, cash, or check). If you have any questions, please email treas@warc1.org

Member ID: NEW

First Name:
Last Name:
Suffex:

ex: Jr., Sr., III

Birthday Select date

Format YYYY-MM-DD ex: 1980-12-31

Call Sign

CAPITAL letters. Use 0 for zero, not Ø. ex: KD0ABC

email:

Password resets will be sent here. Make sure it is correct!! ex: KD0ABC@aarl.com

Phone:

No dashes or punctuation. Include area code. Only 10 digits. ex: 3165551212

Address:
City:
State:
Zip:

No dashes or punctuation. Only 5 digits. ex: 67218

Password:
Confirm Password:

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