W7RAG - RADIO AMATEURS of the GORGE
When using this online form your provided information will be automatically emailed to the Club Secretary who will in turn email you with additional information about the Club and Dues submission. 

Information gathered on this form is not retained or stored on this website. It will not be disseminated by the club secretary without your knowledge and consent. Email will not be shared and are used for club communications only.

 

Contact information:

First Name    *
Last Name    *
P.O. Box or Street    *
City   *
 State    *
Zip Code    *
Email Address    *
Telephone  *
Cell #
I am a Student (grades 1-12) with no family in W&RAG Yes
No

Ham Information:

Call Sign    *
License Class   *
ARRL Member Yes
No
Special interests? (HF, CW, VHF etc.)
Share your email address with members? Yes
No

Additional family memberships requested:

Name Call Sign License Class
Name Call Sign License Class
Name Call Sign License Class
Name Call Sign License Class