Membership Application I hereby apply for membership in THE RADIO CLUB OF AMERICA (select Membership Type below), and certify that I meet the requirement for the grade selected. I agree that, if elected, I will be governed by the Club's Constitution and By-Laws for the duration of my membership.Dues Rates Regular Membership: $135 ($85 + $50 initiation fee) for 1 year or $275 ($225 + $50 initiation fee) for 3 years Age 65+ Membership: $65 ($40 + $25 initiation fee) for 1 year or $125 ($100 + $25 initiation fee) for 3 years Military Membership (veteran, active and retired): $95 ($70 + $25 initiation fee) for 1 year or $228 ($203 + $25 initiation fee) for 3 years Disabled Veteran Membership: $89 ($64 + $25 initiation fee) for 1 year or $194 ($169 + $25 initiation fee) for 3 years Student Membership: $30 ($20 + $10 initiation fee) for 1 year Corporate Membership: $1,100 for 1 year, $2,600 for 3 yearsScholarship Recipient Membership: 2 year membership included with scholarshipMembership Type*Regular MemberAge 65+ MemberMilitary Member (active, veteran, or retired)Disabled Veteran MemberStudentCorporateScholarship RecipientPlease choose Regular, unless you qualify for one of the following special memberships:- Military (veteran, active, or retired)- Disabled Veteran- Age 65+ (at least 65 years of age)- Student (full-time student of accredited academic institution)- Corporate- Scholarship Recipient (confirmed by Scholarship Committee)Contact InformationFull Name* First Middle Last Home Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country This will be used for mailings and your membership directory listingHome PhoneCell PhoneEmail* OK to Publish Email?*YesNoBusiness InformationBusiness NameBusiness Address Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Present Occupation*Tell us about yourselfTell us about your educational background, memberships in other clubs or societies, ham radio callsign, etc. The information is optional, but will help us to get to know you better.EducationWireless related licenses, certificates, industry awardsPlease list any relevant licenses (such as if you are a professional engineer or possess an FCC General Radiotelephone or Radiotelegraph license), certificates, or wireless industry awards.Other Wireless Related MembershipsUpload ResumeYour InterestsIn which particular branch of the communications art are you most interested?If you are a radio amateur, please fill in your call sign.Although RCA is not a radio amateur club, some of our members are radio amateurs and would be interested in knowing your call sign. Having a radio amateur license is NOT a requirement for membership.Your SponsorPlease list the name of an RCA member to whom you are personally known.Sponsor RecommendationNote: Recommendation of sponsor is desired but optional – please attach a separate sheet or email the sponsor recommendation to info@radioclubofamerica.orgPartner Organizations Antique Wireless Association ETA International GWTCA IEEE Communications Society RCA offers a membership discount to members of our partner organizations. Please indicate if you are a member of any of these organizations. If your organization is not listed, a discount is not part of our MOU at this time. Note: only ONE membership discount is allowed.Submit Application with PaymentPromo Code Regular Membership Term1 Year ($85 + $50 initiation fee)3 Years ($225 + $50 initiation fee)Age 65+ Membership Term1 Year ($40 + $25 initiation fee)3 Years ($100 + $25 initiation fee)Military (veteran, active, or retired) Membership Term*1 Year ($70 + $25 initiation fee)3 Years ($203 + $25 initiation fee)Disabled Veteran Membership Term*1 Year ($64 + $25 initiation fee)3 Years ($169 + $25 initiation fee)Student Membership*1 Year ($20 + $10 initiation fee)Corporate Membership*1 Year3 YearsScholarship Recipient Membership*2Year2 ($0)Complimentary 2 Year Membership for Scholarship Recipients (recipient confirmed by Scholarship Committee)Proceedings ListingYes ($60 per year)NoYour membership type entitles you to have a "business card" listing in the Spring and Fall issues of the Radio Club of America Proceedings magazine, for an additional $60 per year. If you select this option, please also fill out and send us this form.Additional Donation?YesNoYour optional tax-deductible donation to support the missions of RCA would be greatly appreciated. Below you will be able to choose which fund(s) to allocate your donation to. Please note that members of AWA, ETA, IEEE Communications Society with Partner Member discounts should make their donations via our Donate page here: https://www.radioclubofamerica.org/donate-to-rca-2/.Additional Donation Amount Fund(s) to apply donation General Club Operations (unrestricted) Archive Preservation Barone-DiBlasi-Facella Biggs Brownson DeMello Award Continuing Education Dettra, Finch General Grants in Aid Goldwater Grebe Gunther Legacy Fund Link Meyer Meyerson Sorley Poppele Youth Activities Richard G. Somers Youth Edu Fund If choosing more than one fund, your donation will be distributed evenly across each selected fund. If you wish to have a different allocation, please use the Comments box at the bottom of the form to let us know of your wishes.CommentsNon-US Listing Surcharge*NoYes ($45 – $15 per year of dues)Should your mailing address not be located in the United States, please click Yes to add the surcharge to your total.Total $0.00 Payment Method*Credit Card or PayPalMail a Check or Money OrderCommentsThis field is for validation purposes and should be left unchanged.
