This application form can be printed from this page.
Just go to File, Print. Fill out this application and mail it with your
check to the address below or bring it to the next meeting. You can become a member the
same night! All
applications are reviewed by the membership committee and voted on before the program.
Name: ______________________________________
Address: _____________________________________
City: ___________________________ State: ______ Zip: ____________
Phone (Residence): __________________ Phone (Work):_________________
Date of Birth: ________________________
Call Sign: ______________________ Class of License: ________________________
Date License First Issued: __________________________
ARRL Member? Yes ____ No ____
Occupation: ______________________________________________________________________
Sponsoring Member (if any): __________________________________________________________
Other Hobbies or Interests: ___________________________________________________________
Comments: What are your preferred Ham activities? What types of programs would you like to see at Club Meetings?
________________________________________________________________________________
________________________________________________________________________________
Send your application to:
Cherokee County Amateur Radio Club
P.O. Box 736
Centre, Alabama 35960