Cherokee Amateur Radio Society

Application for Membership

(Please Print this Form and Return)

Name:_________________________________________  Callsign:_________________

Address:__________________________________________________

City:__________________________  State:_____________  Zip:____________

Email:____________________________________  Phone:_______________________

New member renewal birthday:    Month__________ Day_________

Please include a check or money order for $18.00 per year or prorated $1.50/month for the remainder of the year, made payable to:  Cherokee Amateur Radio Society.  Mail completed application with dues to:  James James - 105 Glenell Drive, Woodstock, GA  30189.

Please list any additional Amateurs at this address on the back of this form.  Give each persons name, callsign and birth month and day.

Is it okay to list your email address on the club roster?    Yes_____  No_____

What modes do you operate? (check all that apply)

HF__  CW__  SSB__  RTTY__  AM__  PACKET__  VHF__  UHF__  ATV__  APRS__

Are you a member of:    ARRL____  ARES____   MARS Callsign____

Are you interested in Skywarn Weather Spotter Activities?    Yes____  No____

Would you like to be notified during weather spotter activation?    Yes____  No____

What NWS classes have you attended?    Basic____  Advanced____ None____