Hays-Caldwell Amateur Radio Club Membership Form

Member Information


Callsign: Class:

Cell Phone: Home Phone:


Mailing Address:

City: State: Zip:

Emergency Contact:

Ham Radio Level of Interest

Are you a member of ARRL?

What club activities are you willing to work on?


Rig Information

Please indicate the radio equipment you have and are licensed to use:
HF Brand/Model:

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!