The Florida Contest Group - Membership Application

No Cost - anyone less than 23 years old
$5 - if you receive all newsletters electronically
$10 - if you receive hard-copy newsletters
These prices are the same for family membership (i.e. no additional dues for your spouse or children)

Call:
Name:
Address:
Address2:
City:
State:
Zip code:
Telephone:
E-mail:
ARRL Section:
Home Page URL:

Please include some information on your Amateur Radio history and interests. This information will be used to introduce you to current members.

License Class:

Novice
Technician
General
Advanced
Extra

ARRL Member?

Yes
No

My FCG Dues are

No Cost - I am less than 23 years old
$5 - I can receive newsletters via e-mail
$10 - I can only receive hard-copy newsletters

Please send your check made out to Florida Contest Group, to Fred Perkins, 3437 Lake Josephine Dr., Lake Placid, FL 33852. Your membership will begin when we receive your dues. Thank you for your interest in joining the Florida Contest Group. We're looking forward to having you as a member.

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