CIARA Club Membership Application

1

Your name

Address

State, City ZIP

Phone(s)

Your email

Dues year / amount:

• New Members (first year) - FREE

• Individual - $20.00

• Family - $30.00

• Student K-12 - $5.00

Please send dues to the Treasurer (Paul, KA9SDQ) or bring them to the next meeting. Checks may be made payable to “HCARES” or “CIARA.”

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