COLUMBIA AMATEUR RADIO SOCIETY (CARS) Member Application

  * NAME                                                                           NICK NAME
 
  * CALL SIGN                   EXPIRES                      ARRL MEMBER
         No Yes

  STREET
 
* LICENSE CLASS
None Tech General Advanced Extra
  CITY
  STATE

ZIP: 

  EMPLOYER
  COUNTY
  * EMAIL
      * TELEPHONE 1 

* TELEPHONE 2 

                                    Home/Fixed                                         INTERESTS                                     Mobile/Portable                        
HF 10M 6M 2M 70cm Digital
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HF 10M 6M 2M 70cm Digital
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Why do you want to join CARS?

WILLING TO VOLUNTEER FOR
ARES/RACES Hamfest Field Day Picnic Website Newsletter VE Testing Skywarn Training
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* Include on published member list YES NO