Friendship Amateur Radio Club

N4FRC – Marion County, Florida

Friendship Amateur Radio Club

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WELCOME
CLUBS
WEATHER
- Submit Report To Jacksonville NWS (JAX)
CONTACT US
MEMBERSHIP APPLICATION FOR 2024

MEMBERSHIP APPLICATION FOR 2024

- Step 1 of 5

About you, the applicant

Application Date *

Name *

First

Last

Address *

Address Line 1

City

State

Zip Code

Do you have more than one phone to list in the roster? *

No
Yes

Primary Phone *

Second phone *

Call Sign *

License Class *

License Exp. Date *

Email *

Do you have an XYL (wife) or OM (husband) you would like to list? *

No
XYL
OM

Did you have another call sign at one time? *

No
Yes

Wife's Name (XYL) *

First

Last

Wife's Call (XYL) *

Husband's Name (OM) *

First

Last

Husband's Call (OM) *

Former Call Signs

Membership Choice *

Single membership $20.00
Family membership $30.00
Associate membership (non-voting)
Other

Payment Method *

Cash
Check
Other

ARE YOU A MEMBER OF THE ARRL? *

YES
Yes, Life member
No

Would you like more information about the ARRL? *

YES
No

Radio Associations and Activities *

ARES
MARS
MERT
QCWA
CERT
SKYWARN
HOSPITAL
SSRC
OTHER
I WOULD LIKE MORE INFORMATION

What modes do you like to operate or most used modes? *

ATV
PACKET
COMPUTER
QRP
CW
RTTY
EME
SSB
FM
WINLNIK
FT8
OTHER

Amateur Activities *

CONTESTS
FIELD DAY
RAG CHEWING
DXING
OTHER

I would like more information about

ARES
CERT
HOSPITAL TEAM
MERT
QCWA
SKYWARN
SSRC

AGREEMENT *

I AGREE

I AGREE TO THE RELEASE OF MY PERSONAL CONTACT INFORMATION TO THE ORGANIZATIONS LISTED ABOVE FOR THE PURPOSE OF GAINING MORE INFORMATION IN THAT ORGANIZATION. I AGREE TO HOLD FRIENDSHIP ARC HARMLESS FROM ANY CONTACTS OBTAINED FROM THIS POINT FORWARD AND I UNDERSTAND THAT ONCE I HIT SUBMIT, THE INFORMATION WILL BE SENT DIRECTLY.

COMMENT/NOTES

You can skip this section if you want to, but look it over anyways

Awards held

WAS
WAC
DXCC
OTHER

Equipment

Antenna or Antennas

Occupation or what you did before you retired *

Other hobbies or interests

Club activities you would like to see or participate in

Personal club email (it will be forwarded to the email address listed on the application)

I would like a personal email address (mycall@n4frc.net)

BYLAWS AGREEMENT *

I AGREE TO ABIDE BY THE TERMS AND CONDITIONS SET FORTH IN THE BYLAWS.

SIGNATURE REQUIREMENT *

I WILL SIGN A COPY AT THE NEXT FACE TO FACE MEETING I ATTEND

- Step 1 of 5

About you, the applicant

Application Date *

Name *

First

Last

Address *

Address Line 1

City

State

Zip Code

Do you have more than one phone to list in the roster? *

No
Yes

Primary Phone *

Second phone *

Call Sign *

License Class *

License Exp. Date *

Email *

Do you have an XYL (wife) or OM (husband) you would like to list? *

No
XYL
OM

Did you have another call sign at one time? *

No
Yes

Wife's Name (XYL) *

First

Last

Wife's Call (XYL) *

Husband's Name (OM) *

First

Last

Husband's Call (OM) *

Former Call Signs

Membership Choice *

Single membership $20.00
Family membership $30.00
Associate membership (non-voting)
Other

Payment Method *

Cash
Check
Other

ARE YOU A MEMBER OF THE ARRL? *

YES
Yes, Life member
No

Would you like more information about the ARRL? *

YES
No

Radio Associations and Activities *

ARES
MARS
MERT
QCWA
CERT
SKYWARN
HOSPITAL
SSRC
OTHER
I WOULD LIKE MORE INFORMATION

What modes do you like to operate or most used modes? *

ATV
PACKET
COMPUTER
QRP
CW
RTTY
EME
SSB
FM
WINLNIK
FT8
OTHER

Amateur Activities *

CONTESTS
FIELD DAY
RAG CHEWING
DXING
OTHER

I would like more information about

ARES
CERT
HOSPITAL TEAM
MERT
QCWA
SKYWARN
SSRC

AGREEMENT *

I AGREE

I AGREE TO THE RELEASE OF MY PERSONAL CONTACT INFORMATION TO THE ORGANIZATIONS LISTED ABOVE FOR THE PURPOSE OF GAINING MORE INFORMATION IN THAT ORGANIZATION. I AGREE TO HOLD FRIENDSHIP ARC HARMLESS FROM ANY CONTACTS OBTAINED FROM THIS POINT FORWARD AND I UNDERSTAND THAT ONCE I HIT SUBMIT, THE INFORMATION WILL BE SENT DIRECTLY.

COMMENT/NOTES

You can skip this section if you want to, but look it over anyways

Awards held

WAS
WAC
DXCC
OTHER

Equipment

Antenna or Antennas

Occupation or what you did before you retired *

Other hobbies or interests

Club activities you would like to see or participate in

Personal club email (it will be forwarded to the email address listed on the application)

I would like a personal email address (mycall@n4frc.net)

BYLAWS AGREEMENT *

I AGREE TO ABIDE BY THE TERMS AND CONDITIONS SET FORTH IN THE BYLAWS.

SIGNATURE REQUIREMENT *

I WILL SIGN A COPY AT THE NEXT FACE TO FACE MEETING I ATTEND

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Friendship Amateur Radio Club

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