Cowichan Valley Amateur Radio Society

Dedicated to supporting community events and emergency communications
Cowichan Valley Amateur Radio repeater
 

Membership Form

* Required Fields

New Membership Renewal Change of Information
First Name: *
Last Name: *
Callsign: *
Qualification: Basic Basic with Honours Basic and Advanced Basic with Honours and Advanced
Morse Code Endorsement:
Address: *
City/Area: *
Post Code: *
Home Phone:

Cell Phone:

E-mail: *

Membership for Indivdual ($35/yr) or Family ($50/yr) Life member
For Family Membership please provide Name, Callsign, License Qualification and e-mail of all family members at the same address in the comment field below.
Comment:

Nametag Options:
Pickup in person ($8) Mail to Member ($15)





If you move or change any of your information, PLEASE fill in a new form. New member applications must be approved by the Board of Directors.
I understand that as a volunteer with Cowichan Valley Amateur Radio Society (CVARS) that from time to time I may be privy to sensitive and confidential information both during training and while on a task. I also understand that this information is not to be discussed or shared with any person or agency which is not directly involved with CVARS.
I also agree with all of the Society's Official Policies that are made available to the membership. I understand that failure to abide by these policies may result in my removal from membership.
I also grant the Cowichan Valley Amateur Radio Society the authority to collect and share my personal information which may include name, address, email and phone numbers with the membership as per the Privacy Policy. This information is used by the members to fulfill the purposes of the Society. This information is not shared outside of the Society. I acknowledge that photos may also be taken during events or functions by members or others and used for society documents or promotion of future events and may become public.

 
 
 

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