MEMBERSHIP APPLICATION FORM
Membership in the Brevard Amateur Radio Society is open to anyone with an interest in amateur radio or the goals of the organization. All memberships need to be renewed annually except for Life Membership which are available for a one-time contribution of two hundred dollars or more.
All memberships require the completion of an application form. Multiple family memberships are welcome, but a separate application form must be filled out for each person other than spouse.
Membership applications may be submitted on-line from this page or written applications containing the same information may be mailed to the BARS Secretary at 4743 Cambridge, Mims, FL 32754-5462. All applications must contain the minimum information indicated below with an  *asterisk.   Or better yet, Print it and bring it to the next BARS Business Meeting with your check for the Dues. (It's 3 pages if you print it.)     Members Application in   Word.doc  in one page print out
* Amounts shown reflect dues payment for next full consecutive year. For example, if your application is submitted at the December 2007 BARS meeting, your application should be submitted with a check (or cash) in the amount of $20.00 (for full membership). That Dues payment covers calendar year of January through December. Your next dues payment would not be due until the following December.  Annual Dues renewal is very December at the annual club meeting.
* Please submit your initial Dues Payment with our application, put your
Call Sign on the Check so we can match it to this application.
Only applications submitted with an appropriate NBARC Dues payment can be presented to the membership for acceptance.
Submit your application and mail your check for your membership Dues to:

Brevard Amateur Radio Society (BARS)
4743 Cambridge Dr.
Mims, Florida  32754
Or you may bring it to our next Business Meeting.
MEMBERSHIP TYPE
JANUARY - JUNE
JULY - NOVEMBER
DECEMBER
FULL VOTING MEMBERSHIP
$20.00
$10.00
$20.00
FAMILY MEMBERSHIP
$5.00
$2.50
$5.00
JUNIOR MEMBERSHIP
$10.00
$5.00
$10.00
SNOW BIRD MEMBERSHIP
$10.00
$5.00
$10.00
MEMBERSHIP DUES IS FOR THE MONTH APPLICATION IS SUBMITTED
* Call Sign:
* Name:
* License Class:
ARRL Membership
Spouse Name:
Call Sign
* Mailing Address:
* City:
* State:
* ZIP:  
Family Membership:         Yes            No
Other Memberships:        ARES        RACES        CAP
Volunteer Examiner:
E-Mail Address:
Birthday Optional:
Comments or Suggestion:
Do you have a 2 meter Hand Held Transceiver (HT)
Have you worked Public Service Events
Can you help with Public Service Events?
Did you take the ARRL ARECC classes? 
If yes what Levels were you Certified for?
Can you help run evacuations shelters
Yes
No
Yes
No
Yes
No
Yes
No
No
Yes
I can now or will soon be able to operate on the following frequencies
160 meters
80 meters
40 meters
30 meters
20 meters
17 meters
15 meters
12 meters
10 meters
  6 meters
  2 meters
  70 cm
ARRL
W5YI