New Membership Application / Database Update Form


Type of Submission: - Select one

New Member ApplicationExisting Member Details Update

Personal Details: - Complete as much as possible

First Name/s :

Surname :

Callsign :

Email :

Street Address :

Postal Address :

Landline number :

Cellphone number :

Date of Birth :

Membership Category - Select one


1. Full - Full members must hold the permission to install and operate an amateur radio
station. Full voting rights
2. Family - Family members are licensed members who reside at the same address as a
member. Full voting rights
3. Associate / Social - Unlicensed individuals who have an interest in radio, electronics and related activities as well as licensed amateur radio operators whose registered amateur radio license address is situated more than 100 kilometers from the HARC Clubhouse. No voting rights.
4. Disabled - A member who suffers from a debilitating condition. Full voting rights.
5. Scholar / Student - A full time scholar or student, with a maximum age of 21 years. Full voting rights.

Radio Interest - Select as many as needed

If Other or Digital Modes, please specify:

captcha - Enter the characters on the left in the box below

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