Online Application to Join

If you took a Test at the last VE Session Please Contact us with the Contact form for a Discount Code

Todays Date *

Your Full Name *

Name you would like to be Called by, ( No Nicknames Please )

Your Birthday

Call Sign

Class License

First Licensed in

Mailing Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Phone (Home)

Phone (Business)

Phone (Cell Phone)

Email *

Select How did you hear about Kings County Radio Club?

How did you hear about us other

If you picked other please fill in how you heard of us

The Repeater you are most often on

Check mark any modes you use for 160 Meters

CWDigitalSSBBaseMobile

Check mark any modes you use for 75/80 Meters

CWDigitalSSBBaseMobile

Check mark any modes you use for 40 Meters

CWDigitalSSBBaseMobile

Check mark any modes you use for 30 Meters

CWDigitalBaseMobile

Check mark any modes you use for 20 Meters

CWDigitalSSBBaseMobile

Check mark any modes you use for 17 Meters

CWDigitalSSBBaseMobile

Check mark any modes you use for 15 Meters

CWDigitalSSBBaseMobile

Check mark any modes you use for 12 Meters

CWDigitalSSBBaseMobile

Check mark any modes you use for 10 Meters

CWDigitalSSBBaseMobile

Check mark any modes you use for 6 Meters

CWDigitalSSBBaseMobile

Check mark any modes you use for 2 Meters

CWDigitalSSBFMBaseMobile

Check mark any modes you use for 220 MHz

CWDigitalSSBFMBaseMobile

Check mark any modes you use for 440 MHz

CWDigitalSSBFMBaseMobile

Microwave

CWDigitalFMBaseMobile

Check mark the following what you are interested in

HomebrewTeachingARRL MemberMobile OperationRACES, ARESAntenna BuildingHomebrew/QRPClassic RadiosDigital ModesField Day

What are some of your interests in Amateur Radio that you are interested to further explore?

Are you a member of A.R.E.S, R.A.C.E.S., M.A.R.S., S.A.T.E.R.N., SKYWARN or N.T.S.?

YesNo

If so, which ones?

A.R.E.S.R.A.C.E.S.M.A.R.S.S.A.T.E.R.N.SKYWARNN.T.S.

Would you like to learn more about any of the above public services? If so, which service(s)?

Are you presently a Volunteer Examiner (V.E.)?

YesNo

If you hold a General License class or above would you like to learn about becoming a V.E.?

YesNo

Would you be interested in assisting with the Club’s Technician Radio Classes (theory, government regulations, and/or demonstrations)?

YesNo

Would you be interested in being an Elmer for a new Ham, or Club member?

YesNo

Are you presently a member of the American Radio Relay League (ARRL)?

YesNo

If not, would you be interested in learning more about the ARRL?

(You may join or renew through the Club.)YesNo

Which Membership Plan will you Join. *

Kings County Radio Club

Devoted to Communication Science

KCRC Online Application

Check mark on the modes you are interested in and if you use it Mobile and/or Base

Fieldset

Verification