DeKalb County Amateur Radio Club Membership Application

If you only recently passed your ham test, some of these questions may not apply to you.

 

Are you an ARRL Member?:	Yes No Life
Year you were first licensed:
Your current class of license:	Novice Technician Tech Plus General Advanced Amateur Extra

Amateur radio interests:

	Phone		CW		SSB		Satellite
	Packet		FM		PSK31		Amateur Television

What type of equipment do you currently have?:

HF

VHF

UHF

Is your equipment emergency powered?:
Yes No

Type of Application:  

Voting Member $12.00 per year

Associate (non-licensed) member $5.00

Family Member, in addition to voting member $5.00

Additional Members in same family: (Non-Voting, $5.00) (Voting, $12.00)

Please print and mail the form and make your check payable to: DCARC

Please mail to:

DeKalb County ARC

170 Airport Road West

Fort Payne, AL  35968