Member Renewal Form

Please use the form below to create a website account if you don’t already have one, and process your membership renewal.
Renew your NVRC Membership
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First Name
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Last Name
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Email Address
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Phone Number
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Street Address
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City
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State
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Zipcode
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Maximum 10 characters allowed.
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AMA Number
AMA Membership required
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Please enter at least 3 characters.
Maximum 12 characters allowed.
AMA Membership Attachment
Please select file.
Proof of AMA membership required.
Proof of AMA membership required.
Picture of your AMA card or PDF of email receipt
Amateur Radio Call Sign
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Username
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create your new website username
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Password
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    Strength: Very Weak
    Select Your Payment Type

    Please use Paypal for quickest processing. Instructions for mail in payments will be included in your welcome email.

    Account Holder Name
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    Payment Mode
    Select Payment ModeCheque: ok, but will take longer to processAlready pre-paid for 2021
    Please select Payment Mode.
    How you want to pay?
    Payment Summary

    Your currently selected plan :
    Final Payable Amount:
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