Your Full Name (required)

YL/OM Name (SPOUSE)

Call Sign, License Class, and ARRL Membership
is NOT required to join our club. Open to ALL
who are interested in amateur radio.

Your Call Sign:

Your FCC License Class:

Are you a current ARRL member?
YESNO

Your Local Street Address: (required)

Your Local City: (required)

Your Local State: (required)

Your Local Zip Code: (required)

Your Local Phone Number:

Your Cell Phone Number: (required)

Your Email Address: (required)

If you are a seasonal Venice resident, please provide your
"up north" contact information. Otherwise, leave blank.

Your Summer Street Address:

Your Summer City:

Your Summer State:

Your Summer Zip Code:

Your Summer Phone Number:

Your Summer or Alternate Email Address:

Dues Payment Method
($25/yr, or $12 after June 1st, $25 after October 31st for current and next year
family memberships $30/yr or $15 after June 1st, $35 after October 31st for current and next year)
If by mail send check to: TARC, P.O. Box 976, Nokomis, FL 34274

Will mail a check for paymentWill pay by check at next club meetingWill pay by credit card using the PayPal link found below this application formI passed my test administered by Tamiami ARC Volunteer Examiners and have a FREE 1st year membership