New Membership             Membership Information Update      

__________________________________________________________________________________________ Personal Information 

 

Last Name           First Name           Amateur Call Sign      

 

Street Address         City           State           Zip      

 

Home Phone           Work Phone           Cell Phone      

 

E-Mail           E-Mail 2           Age      

 

Password to use for Member Only Area of website      

 

   ARRL Member - NOTE: You do not have to be an ARRL member to join. 

__________________________________________________________________________________________ 

Equipment Information 

 

License Class 

   Technician 

   Tech Plus 

   General 

   Advanced 

   Extra 

 

Equipment Capabilities 

 

HF -                   SSB           CW           FM           Data           Packet / PSK-31         Mobile 

6 Meters -           SSB           CW           FM           Data           Packet / PSK-31         Mobile         Handheld         Digital Voice 

2 Meters -           SSB           CW           FM           Data           Packet / PSK-31         Mobile         Handheld         Digital Voice 

222 MHz  -         SSB           CW           FM           Data           Packet / PSK-31         Mobile         Handheld         Digital Voice 

440 MHz  -         SSB           CW           FM           Data           Packet / PSK-31         Mobile         Handheld         Digital Voice 

23 CM -              SSB           CW           FM           Data           Packet / PSK-31         Mobile         Handheld         Digital Voice 

Do you have APRS capabilities?       Yes       No 

Do you have a GPS?       Yes       No 

Can your home stations be operated without commercial power?       Yes       No 

Do you have a generator?       Yes       No 

 

 

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