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FULL MEMBER - $35 per year ASSOCIATE MEMBER - $20 per year ADDITIONAL FAMILY MEMBERS - $5.00 each per year
First Name:
Last Name:
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Phone Number: () -
Address Line 1: Address Line 2 (optional):
City:
Province / State: Postal Code / Zip:
Country:

Additional Family Member 1: Optional Callsign:
Additional Family Member 2: Optional Callsign:
Additional Family Member 3: Optional Callsign:
Additional Family Member 4: Optional Callsign:

Optional Donation: $

Full Membership Associate Membership
Are you or any of your family members a new member? Yes: No:

I/we understand and agree that this membership remains in effect for one year after payment of membership. Membership fees are payable with this application and at each Annual General Meeting thereafter. Only a NORAC member in good standing may receive NORAC mailings, and only full members or family members of full members may vote at meetings, or elect or stand for election as an executive of NORAC. APPLICATIONS FOR NEW MEMBERSHIP ARE SUBJECT TO THE APPROVAL OF THE NORAC BOARD OF DIRECTORS.

For payment by mail, please print this form using the button below, and send it filled out, with payment to: NORAC.  PO BOX 1706, Vernon BC, V1T 8C3.