Member Application Form

Use this form for new member applications or for current member information updates.
Please fill in this application and click the Submit button at the bottom.
A message below the Submit button will let you know the application was sent.


    Annual Dues are $25.00. Family members in the same household that are amateurs will be associated at no additional charge. Dues for NEW MEMBERS joining in April, May or June will be $15.00; July, August or September $10.00; October, November or December $5.00. RENEWING MEMBERS- it is the full $25.00 for the whole year- typically collected at our Christmas Dinner.
    Your Name
    Call Sign
    License Class
    Birthdate
    Address
    Home Phone
    Ok to list in Directory YesNo
    Work Phone
    Ok to list in Directory YesNo
    Cell Phone
    Ok to list in Directory YesNo



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