🖨️ Print Form
Tioga County Amateur Radio Club
P.O. Box 531, Wellsboro, PA 16901 | www.tcarc.org
Annual Membership / Renewal Form
Application Type
New Member
Renewal
Membership Year
Membership Dues
Annual Membership
$20
Family Membership
$25
Senior Membership
(age 60 and over)
$10
Student Membership
$10
Additional Donation
(optional — thank you!)
$
Total Enclosed
$——
Please make check payable to
TCARC
and mail to the address above.
Member Information
Full Name
Mailing Address
City
State
ZIP
Telephone
Call Sign
Email Address