Membership Application Form


    Your License Class





    Spouse/Family member name & callsign (if any)

    Are you a member of the American Radio Relay League (ARRL)

    Interests (Select all that apply)

    Indicate any projects in which assistance is needed

    Please share any goals related to BVRC Membership

    How did you find out about us?

    Anything else you would like us to know about you?

    Dues sent via:

    Once you send the form, we will get an email.

    If you would like to join, membership dues are $15 per family, per calendar year payable by
    cash, check, or PayPal, to club Treasurer Marc Whittlesey, W0KYZ.

    When joining with the ARRL option, the Bella Vista Radio Club will receive $15 for each new membership, so your BVRC Dues will be waived as PAID!

    Just fill out this Form to Join the ARRL, and bring it to the monthly meeting, or send it to Marc Whittlesey, W0KYZ, at: almarc11@yahoo.com.

    PayPal now accepted! Click on PayPal icon below

    Or, from the PayPal portal on your device, the payment address is: almarc11@yahoo.com

    Checks should be payable to “Bella Vista Radio Club,” conveyed to Marc Whittlesey, W0KYZ, at the next meeting, or mail your payment to:

    Bella Vista Radio Club
    c/o Marc Whittlesey
    1 Radcliffe Dr.
    Bella Vista AR 72714

    73 and Welcome to the Club !