Membership Application Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Call SignLicense Class *TechnicianGeneralExtraSWL/OtherStreet Address *City *State *Zipcode *ARRL Member *YesNoMembership Level: Send Check/Money Order to Bear Bait Radio Club, PO Box 172 Clay, NY 13041 *$20 Full member$20 Associate Member$10 Student member (under 18)$5 Additional family member (at same address)$_ Personal DonationBy completing this form (below) in applying for membership in the Bear Bait Radio Club (BBRC), I agree to abide by the provisions of the Constitution and By Laws of the Bear Bait Radio Club and further to abide by any current edition of Rules and Regulations governing amateur radio a set for by the Federal Communications Commission. *I agreeSubmit