Membership Form

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PLEASE COMPLETE AND SUBMIT THE MEMBERSHIP FORM BELOW SO WE'LL HAVE YOUR INFORMATION ON FILE.

MEMBERSHIP FEES: INDIVIDUAL $30, FAMILY $35, ASSOCIATE $10 (NO LICENSE, NO VOTE)

PLEASE SEND CHECK OR MONEY ORDER TO:

HCARC

PO BOX 7441

SEBRING, FL 33872

THANKS AND WELCOME!

First *

Last *

Street Address *

City *

State *

Zip Code *

Telephone *

Email *

Please double check your email address

CALL SIGN

If you have a Call Sign enter it here

Operator Class

Area of Interest

Select as many as apply

HF Band

VHF Band

Digital

Radios you operate

Select as many as needed

Base Station

Mobile

Handheld

Roster Information *

Permission to Place contact information on the Roster?