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Membership Signup
Membership Signup
Membership Signup
Membership Signup
This form is for use with membership signups on the Desert RATS website
Name
*
Call Sign
Is this a Renewal or a New Membership?
*
Renewal Membership
New Membership
Name & Call sign Published?
Yes
No
Do you wish your name and call sign made available to members on the website/
Email
*
Class
Technician
General
Extra
Advanced
Phone
*
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Interested in Ham Radio
VHF/UHF
HF
Phone
CW
Digital
SSTV
IRLP
DX
Contesting
ARES/RACES
Satellite
OTher
Single Member
*
Price:
Additional Family Members
Quantity
Price:
$5.00
Quantity
Each additional family member is $5.00
Name & Call Sign of Family Members
Total
$0.00
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