"*" indicates required fieldsLicense ClassTechnicianGeneralExtraAdvanced ClassNo Ham LicenseCall SIGN*Member of: ARRL Member ARES Member VEReason(s) for joining our club: Public Safety Events Repeater Field Day Social / Rag Chew New to Ham Radio Need Help OtherOperate on the following: UHF Mobile VHF Mobile UHF Base HF Voice RTT PSK31 Amtor/Pactor DMR Fusion Echolink D-Star AREDNOperate on the following.: UHF Portable VHF Portable VHF Base HF CW Packet Satellite Slow/Fast Scan TV AllStarLink FT8 FT4 Other Modes or BandsReason(s) for joining our club Other:Other Modes or BandsWill you participate in public service events and drills that may occur in the community? Yes NoFirst Name:*Last Name:*Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Cell Phone*Home PhoneEmail* Mora Open Repeater Association Membership1 Year Full Membership with voting privileges1 Year Associate Membership NO voting privileges2 Year Full Membership with voting privileges2 Year Associate Membership NO voting privilegesDonation Total Credit Card*Cardholder Name Card Details "*" indicates required fieldsLicense ClassTechnicianGeneralExtraAdvanced ClassNo Ham LicenseCall SIGN*Member of: ARRL Member ARES Member VEReason(s) for joining our club: Public Safety Events Repeater Field Day Social / Rag Chew New to Ham Radio Need Help OtherOperate on the following: UHF Mobile VHF Mobile UHF Base HF Voice RTT PSK31 Amtor/Pactor DMR Fusion Echolink D-Star AREDNOperate on the following.: UHF Portable VHF Portable VHF Base HF CW Packet Satellite Slow/Fast Scan TV AllStarLink FT8 FT4 Other Modes or BandsReason(s) for joining our club Other:Other Modes or BandsWill you participate in public service events and drills that may occur in the community? Yes NoFirst Name:*Last Name:*Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Cell Phone*Home PhoneEmail* Mora Open Repeater Association Membership1 Year Full Membership with voting privileges1 Year Associate Membership NO voting privileges2 Year Full Membership with voting privileges2 Year Associate Membership NO voting privilegesDonation Total Credit Card*Cardholder Name Card Details
