Membership Application Your name (first & last) Callsign License Class TechnicianGeneralAdvancedExtra License Expiration Date Date of Birth Address (including city, state, and zip code) Phone Number Email Main Interests in Ham Radio VHF/UHFHFPhoneCWPSKFT8RTTYSSTVEchoLinkIRLPDMRDXContestsARES/RACESSatelliteRepeater MaintenancePublic Service Events ARRL Member YesNo If Yes, date of expiration American Legion Membership (complete where applicable) American Legion Post # American Legion Member # American Legion Auxiliary Post # American Legion Auxiliary Member # Sons of the American Legion Post # Sons of the American Legion Member # Post 42 Associate Member # I hereby agree to abide by the provisions of the Bylaws of the Club as they apply to Clubmaintained equipment and repeater usage. I further agree to comply with the FCC Rules and Regulations, Part 97. I understand that my membership may be withdrawn for failure to abide by the Bylaws of the Club, FCC Rules and Regulations, Part 97, loss of a valid amateur radio license, or by actions in violation of FCC Rules and Regulations by non-licensed members. I agree
