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LARG Membership information
Please fill out this for when updating an existing membership or completing new membership to our club. Please note that we will not publish personal information on the Internet except for other club members to view. We will publish your name and call sign which is already public information.
You can also return to:
https://k4lrg.org/
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Application type
*
New Application
Updated information
Preferred Email
*
We will subscribe you to the mail lists using this e-mail address
Your answer
Your FCC Call Sign
*
Your answer
Your FCC License Class
*
Novice
Technician
General
Advanced
Extra
No License- Associate Member
What year were you first licensed?
Your answer
What was your first FCC call sign?
Leave blank or use "None" if you do not have a call sign yet
Your answer
Address (Street)
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
Phone number
*
(xxx) xxx-xxxx, if you don't mind.
Your answer
Type of Membership
*
Individual
Family
Partial
Are you a member of:
*
ARRL
ARES
LARG
NONE
Required
What year did you first join LARG?
Your answer
Comments for us
Your answer
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