Your Callsign:
Membership Requested: Full Membership Associate Membership Senior Membership Youth Membership Family Membership *Family Memberships require 1 Full Membership
Existing Family Member Callsign: *Only needed for Family Membership

First Name: Middle Initial: Last Name: Suffix:
Address:
City: State: Zip:

When talking on the air, what name do you use?(if different)

Phone: Email Address:

Would your prefer to be excluded from the RATS Membership directory? NO YES
(Membership directory contains Callsign, Name & Privacy-Email link)

Briefly explain why you wish to join R.A.T.S

Each month the club tries to have a topic of interest at the meeting. What topics would you like to have discussed? (Does not have to be electronic in nature.)

Our club needs "People Power" to operate. Check areas in which you will participate:
Frostfest:      Programs:      Social Events:      Public Relations:
Others: (list your ideas)