By Richfield Amateur Radio ClubDecember 23, 2014 JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.Request for MembershipPlease fill-out this questionnaire to request membership to the Richfield Amateur Radio Club.Sign in to Google to save your progress. Learn more* Indicates required questionFirst Name *Your answerLast Name *Your answerCall Sign *Your answerEmail Address *Your answerAre you a member of any of the following? *Choose all that apply.Richfield CERTBloomington Amateur Radio AssociationBloomington Communications GroupARRLNoneOther:RequiredNotesAnything else you would like us to know about you?Your answerSubmitClear formNever submit passwords through Google Forms.This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy Forms