Hays-Caldwell Amateur Radio Club Membership Form

Member Information

Name:

Callsign: Class:

Cell Phone: Home Phone:

Email:

Mailing Address:

City: State: Zip:

Emergency Contact:

Are you a member of ARRL? yes no

What club activities are you willing to work on?

Please indicate the radio equipment you have and are licensed to use:

Annual club dues are $15, payable at the start of each calendar year.

Please make check payable to "Hays-Caldwell Amateur Radio Club"

Or, you may use the PayPal to pay for your membership. Be sure to SUBMIT (save) this form before returning to the home page!