Membership Application / Renewal Form

                      Ellis County Amateur Radio Club
                                  Post Office Box 373
                     Waxahachie, Texas 75168 - 0373

 

  
  New Member      Renewal      Are you an ARRL member? Yes  No
  Type of Membership 
  First Name    Last Name
  Amateur Callsign    License Class
  E-mail Address   (optional)
  Personal Web Page http:// (optional)
  Address
  City    State    Zip Code
  Home Phone Number - -
   
  Employer
  Employer Address
  City    State    Zip Code
  Work Phone Number - -
   
  Station Capabilities
    HF  UHF  VHF  Packet  Emergency Power
  Primary Radio Interests
   
  Comments about the Club or its' operation
   
 

Please include your email address if you would like to be included on club emails.
Include your web address if you would like your site linked to the club's site.
 

New membership fees become due upon the club's approval of your application.
Annual membership fees become due by the June club meeting.