Membership Application

Please provide the information requested below. Items with a red asterisk (*) are required. When complete, click on the Submit button at the bottom of the page. This will send the application to the club. If you don’t get a response within a few days, please send an email to [email protected] to confirm that it was received successfully.

Membership Application
Name
Name
First
Last
If not licensed yet, just enter “none”.
License Class
Are you able to help in an emergency?
ARRL Member?
ARES Member?
Describe your interests, i.e. HF, VHF/UHF, CW, SSB, RTTY, Digital, DX, Contesting, Nets, etc.
Do You Have Emergency Power
Do You Own a 4-Wheel Drive Vehicle?
By typing your signature you acknowledge that this application is correct and complete, and equivalent to signing the paper application.

Clicking on the button below submits the form, and transfers the display to the Dues Payment page.