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W4BFB Membership Form

Membership in the Society is open to any person interested in Amateur Radio. An Amateur Radio license is not required for membership. Only full members holding a valid Amateur Radio license may vote in society elections; only members over 18 years of age may become a club officer or committee chairperson. Every current member is notified when a new newsletter is available via email. Only current society members may operate MARS equipment, following a checkout and instruction session, and they are responsible to comply with and subject to FCC rules and regulations. Members must notify the club secretary of address, phone, and/or email changes.

MARS holds a regular meeting monthly. See https://w4bfb.org for information about the scheduling and location.

To be a MARS member, you must submit a completed application/renewal/update form and pay the annual dues required. The annual membership year is from January 1st thru December 31st.  Dues will be pro-rated throughout the year.

Your Name (required)

Mailing Address Address (required)

Home Phone (required)

Cell Phone (required)

Your Email (required)

License Class (required)

Call Sign

Call Sign Expiration

ARRL Member (required)

Membership Type (required)

DOB

Permission to display Phone in Roster (required): Permission to display Email in Roster (required):

Number of Family Members:

Family Member 1

Name

Email Address

Cell Phone (required)

DOB

License Class

Call

License Expiration Date

ARRL Member

Permission to display Phone in Roster: Permission to display Email in Roster:

Family Member 1

Name

Email Address

Cell Phone (required)

DOB

License Class

Call

License Expiration Date

ARRL Member

Permission to display Phone in Roster: Permission to display Email in Roster:

Family Member 2

Name

Email Address

Cell Phone (required)

DOB

License Class

Call

License Expiration Date

ARRL Member

Permission to display Phone in Roster: Permission to display Email in Roster:

Family Member 1

Name

Email Address

Cell Phone (required)

DOB

License Class

Call

License Expiration Date

ARRL Member

Permission to display Phone in Roster: Permission to display Email in Roster:

Family Member 2

Name

Email Address

Cell Phone (required)

DOB

License Class

Call

License Expiration Date

ARRL Member

Permission to display Phone in Roster: Permission to display Email in Roster:

Family Member 3

Name

Email Address

Cell Phone (required)

DOB

License Class

Call

License Expiration Date

ARRL Member

Permission to display Phone in Roster: Permission to display Email in Roster:

Family Member 1

Name

Email Address

Cell Phone (required)

DOB

License Class

Call

License Expiration Date

ARRL Member

Permission to display Phone in Roster: Permission to display Email in Roster:

Family Member 2

Name

Email Address

Cell Phone (required)

DOB

License Class

Call

License Expiration Date

ARRL Member

Permission to display Phone in Roster: Permission to display Email in Roster:

Family Member 3

Name

Email Address

Cell Phone (required)

DOB

License Class

Call

License Expiration Date

ARRL Member

Permission to display Phone in Roster: Permission to display Email in Roster:

Family Member 4

Name

Email Address

Cell Phone (required)

DOB

License Class

Call

License Expiration Date

ARRL Member

Permission to display Phone in Roster: Permission to display Email in Roster:

Family Member 1

Name

Email Address

Cell Phone (required)

DOB

License Class

Call

License Expiration Date

ARRL Member

Permission to display Phone in Roster: Permission to display Email in Roster:

Family Member 2

Name

Email Address

Cell Phone (required)

DOB

License Class

Call

License Expiration Date

ARRL Member

Permission to display Phone in Roster: Permission to display Email in Roster:

Family Member 3

Name

Email Address

Cell Phone (required)

DOB

License Class

Call

License Expiration Date

ARRL Member

Permission to display Phone in Roster: Permission to display Email in Roster:

Family Member 4

Name

Email Address

Cell Phone (required)

DOB

License Class

Call

License Expiration Date

ARRL Member

Permission to display Phone in Roster: Permission to display Email in Roster:

Family Member 5

Name

Email Address

Cell Phone (required)

DOB

License Class

Call

License Expiration Date

ARRL Member

Permission to display Phone in Roster: Permission to display Email in Roster:

Family Member 1

Name

Email Address

Cell Phone (required)

DOB

License Class

Call

License Expiration Date

ARRL Member

Permission to display Phone in Roster: Permission to display Email in Roster:

Family Member 2

Name

Email Address

Cell Phone (required)

DOB

License Class

Call

License Expiration Date

ARRL Member

Permission to display Phone in Roster: Permission to display Email in Roster:

Family Member 3

Name

Email Address

Cell Phone (required)

DOB

License Class

Call

License Expiration Date

ARRL Member

Permission to display Phone in Roster: Permission to display Email in Roster:

Family Member 4

Name

Email Address

Cell Phone (required)

DOB

License Class

Call

License Expiration Date

ARRL Member

Permission to display Phone in Roster: Permission to display Email in Roster:

Family Member 5

Name

Email Address

Cell Phone (required)

DOB

License Class

Call

License Expiration Date

ARRL Member

Permission to display Phone in Roster: Permission to display Email in Roster:

Family Member 6

Name

Email Address

Cell Phone (required)

DOB

License Class

Call

License Expiration Date

ARRL Member

Permission to display Phone in Roster: Permission to display Email in Roster:

I have a valid student ID (pdf, png, jpg, gif):

By clicking "Join Now", you will be directed to a payment page on PayPal where you will enter your payment information for your order. You will notice a $1 handling fee applied.

With the submittal of this application, and appropriate fees, I do hereby agree to abide by the by-laws and Standing Rules of the Society as well as the rules and regulations of the Federal Communications Commission.