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.
First Name *
Your answer
Last Name *
Your answer
Application type *
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 *
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 *
Are you a member of: *
Required
What year did you first join LARG?
Your answer
Comments for us
Your answer
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