Membership Application

W1ORS Membership Application
Call sign (if you hold a license)
Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Affiliations?

ARRLARESRed CrossCERTPolice/Fire/EMTOther
Where did you hear about us?

Another HamGoogleFacebookARRLOther
Preferred way to contact

PhoneEmailAnyOther
Membership Information
1. Membership is available to anyone

2. A Ham radio license is not required - but we'd love to help you become a Ham!

3. A small membership fee of $15 yearly (family rate available, can pay at club)

4. Licensed members can use our modern operation stations when the club is open
I have read, understood, and accepted the rules for membership.
Privacy Policy
We dont share your information - just used to maintain a club roster, send out dues mailings or other things as needed.
I have read, understood, and accepted the PRIVACY POLICY for membership.
We look forward to working the world with you!

Thank you!
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W1ORS Membership Application