Application – Twin State Radio Club, Inc.

Amateur Radio education and public service

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Amateur Radio education and public service

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Name *

First

Last

FCC Call Sign (If any)

Please enter your Amateur Radio Callsign. Leave blank if you do not yet hold an Amateur Radio License.

Amateur Radio License Class

Please select your Amateur Radio License Class (if any)

Membership Type

Please select what membership level you would like. (Voting membership requires a current FCC ham license)

Dues Payment

How will you submit your membership dues?

Street Address *

Please enter your street address

Town *

Please enter your town

State *

Please enter your state

Zipcode *

Please enter your zipcode.

Email *

Please enter your email address

Are you a member of the American Radio Relay League (ARRL)?

The ARRL is the National Association for Amateur Radio in the United States.

Interests *

Please tell us a little about your interests

Other information you would like to share with us

How did you hear about the Twin State Radio Club?

Please let us know how you found out about us!

Donate or pay annual dues with PayPal. If paying dues, please add $1 to cover PayPal fees.

TSRC, Inc. is a 501(c)(3) non-profit education and public charity corporation.