Join South Shore Ham Radio Club

Fill out the application below to apply for membership. A club officer will follow up with next steps.

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Full Name *

First

Last

Call Sign *

Email Address *

Address *

City/Town *

State *

Zip Code *

License Class *--- Select Choice ---TechnicianGeneralExtra

Are you an ARRL Member?

• Yes
• No

Club Sponsor Name

Club Sponsor Call Sign

Please list any skills or talents that you think may be of interest to the club:

Explain why you would like to join the South Shore Ham Radio Club: *

How will you commit to support the club's activities if approved? Please be specific: *

Agreement *

• I agree to abide by the club bylaws and FCC rules

may talents Name

Phone Number — Day *

Phone Number — Evening

Submit Application