OCARC Online Membership Application

First name    
Last name *    
E-mail *    
Callsign *    
Address *    
City *    
Zip Code *    
Home Phone *    
Cell Phone *    
Some Questions:     Please check off all that apply:
Are you an ARRL Member?
Are you an ARRL VE?
Are you an ARRL Official or Appointee?
Do you have mobile VHF/UHF capability?
Do you have an HT?
Do you have emergency power capability?
Where do you like to operate?     Where do you like to operate? Please select all that apply:
FM below 30 MHZ
FM above 30 MHZ
AM below 30 MHZ
AM above 30 MHZ
SSB below 30 MHZ
SSB above 30 MHZ
CW below 30 MHZ
CW above 30 MHZ
RTTY below 30 MHZ
RTTY above 30 MHZ
SSTV below 30 MHZ
SSTV above 30 MHZ
Digital below 30 MHZ
Digital above 30 MHZ
RACES below 30 MHZ
RACES above 30 MHZ
Other
If other is checked If "Other" is checked above, please describe
Favorites What is your favorite frequency and mode?
Birth Month What is the MONTH of your birth?
Birthday What is the DAY of your birth? (we do not need the year!)
Membership Desired     Do you want the Individual or Family membership? Please select one:
Individual ($15)
Family ($20)
     
By clicking "SUBMIT", I agree to abide by the bylaws of the Orange County Amateur Radio Club
as amended. I understand that membership is granted by the Board of Directors and that it
can be revoked by them at any time.
  

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