Please enable JavaScript in your browser to complete this form.Name *FirstLastFCC 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 ClassWorking on getting licensedTechnicianGeneralAdvancedExtraPlease select your Amateur Radio License Class (if any)Membership TypeVoting $24yrAssociate $12/yrJunior Voting $12/yrPlease select what membership level you would like. (Voting membership requires a current FCC ham license)Dues PaymentWill mail checkPay via PayPalPay at Club MeetingHow will you submit your membership dues?Street Address *Please enter your street addressTown *Please enter your townState *Please enter your stateZipcode *Please enter your zipcode.Email *Please enter your email addressAre you a member of the American Radio Relay League (ARRL)?YesNoThe ARRL is the National Association for Amateur Radio in the United States.Interests *DXingContestingRagchewingRadio & electronics educationExperimentingHome-brewed radio & accessoriesPublic service event communicationsARES emergency communicationsHFVHFPlease tell us a little about your interestsOther information you would like to share with usHow did you hear about the Twin State Radio Club?Please let us know how you found out about us!Submit Membership Application Donate or pay annual dues with PayPal. If paying dues, please add $1 to cover PayPal fees.