Online ARCR Membership Application


Registration for ARCR is a TWO STEP process.

Step One

Please fill out this form completely.

Once you are done, press SUBMIT and you will be directed to our Secure Membership Order Page
where you will provide us with your credit card information.  Note:  We cannot process your application until
you have completed the card authorization process..


First Name
Middle initial or name
Last Name
Address
City
State or Province
Postal Code
Country
Telephone
FAX
Email Address:   (please use same at time of payment)
Re-Enter your email address
Passport Number
Country issuing passport
Name exactly as it appears on Passport
Emergency Contact Name
Emergency contact phone number

Family information only if they will be ARCR members:
Children must be under age 18, or under age 25 for full time students

Spouse's full Name
Child 1 full name    Age:
Child 2 full name    Age:
Child 3 full name    Age:
Child 4 full name    Age:
Child 5 full name    Age:
Child 6 full name    Age:
For Costa Rica Residents only:
Your Residency Status:
Costa Rica ID # ID Number:   Expires:

If you have any questions or comments, please enter them here:

By submitting this application to ARCR, I agree to comply with all the Rules of the Association, to pay my dues as fixed by the elected Board of Directors for so long as I am a member, and to strive to work with other members to achieve the purposes of the Association.