Online Application to Join Todays DateFirst NameLast NameName you would like to be Called by, ( No Nicknames Please )Your BirthdayCall SignClass License *Pick from this drop downNot Licensed yetTechnicianGeneralAdvancedExtraFirst Licensed inPhone (Home)Phone (Business)Phone (Cell Phone)Email Address *Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweSelect How did you hear about Kings County Radio Club? *Select How did you hear about Kings County Radio Club?Club mailerVE Session handoutClub websiteI heard about it on the radioOtherIf you selected Other: How did you hear about us?The Repeater you are most often onEnter What Bands and Mode you most operate onCheck mark the following what you are interested inHomebrewTeachingARRL MemberMobile OperationRACES, ARESAntenna BuildingHomebrew/QRPClassic RadiosDigital ModesField DayAre 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.?YesNoIf so, which ones?Would you like to learn more about any of the above public services? If so, which service(s)?YesNoAre you presently a Volunteer Examiner (V.E.)?YesNoIf you hold a General License class or above would you like to learn about becoming a V.E.?YesNoWould you be interested in assisting with the Club’s Technician Radio Classes (theory, government regulations, and/or demonstrations)?YesNoWould you be interested in being an Elmer for a new Ham, or Club member?YesNoAre you presently a member of the American Radio Relay League (ARRL)?YesNoIf not, would you be interested in learning more about the ARRL?YesNoWhich Membership Plan will you Join. *Which Membership Plan will you Join.Active Member - Licensed AmateurFamily Member (of paid Active Member)Senior Citizen Member - Over 65Associate Member - UnlicensedStudent Member - Under 18/Full Time StudentMembership At A Distance (long distance membership for those wishing to support the Club)VE Coupon MembershipHTMLAfter clicking Send you will be redirected to the payment pageSend MessagePlease do not fill in this field.
