MEMBERSHIP APPLICATION: WEST GEORGIA AMATEUR RADIO SOCIETY

Name:__________________________________ Callsign:________ Class:________
Address:_____________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

Membership Dues: Regular($15 per year)_______ Family($20 per year)_______

If Family, Names and Callsigns of members
1)__________________________________________________________________
2)__________________________________________________________________
3)__________________________________________________________________
4)__________________________________________________________________
5)__________________________________________________________________

Contact Phone number:________________  Internet Access: Yes / No
Email Address (if you have one):_______________________________________
Keep Email Address Private:   Yes / No
Current member of ARRL:   Yes / No    
If not current, have you ever been a member:   Yes / No
Member of ARES (Amateur Radio Emergency Service):   Yes / No

Notes:
Make check payable to: 
WGARS 
PO Box 1535
Carrollton,Ga. 30112

ARRL membership can be done through the West Georgia Amateur Radio Society. If you have never been a member of ARRL (American Radio Relay League), applying for membership through the West Georgia Amateur Radio Society helps the club. To maintain the special ARRL club affiliation, WGARS needs to have at least 51% of its membership holding membership in the ARRL. 

If you are not a member of ARRL, please consider joining.

For ARES membership, contact on the W4FWD 2 Meter repeater 146.640 131.8 tone:
      Carroll County: Alan Rundell - K4DEY
      Harrellson County: Jon Mitcham - KD4YDA
      Heard County: Glenn Alford - KE4OBM
      Cleburne County, Al.: Johhny Goolsby - N4UQB