MEMBERSHIP Use this membership form to let the club know who you are. If any of your information changes, such as you moved or changed your phone number then just fill it out so that we have a way of getting in touch with you. First and last name (required) Your Callsign (if none, leave blank) Your email (required) Your current license class? NoviceTechnicianGeneralAdvancedExtra Are you a full time Florida resident ? YesNo Your mailing address (required) Your City and State (required) Your Zip code (required) Your home phone # (optional) Your Cell phone # (optional) Are you an ARRL member?? YesNo Other Radio related memberships you are in? SkywarnARESAUXCOMMRACESMARSAMSAT Current operating modes ? VHF/UHFAPRSHFSATELITECWANY DIGITAL MODE I am interested in... REPEATERSD-STARFIELD DAYYAESU FUSIONEMCOMMSHFDMRPOTACONTESTING Δ
