Membership

Membership Enrollment

Paper Membership Form

The paper version of the CMSARA membership form which can be downloaded by clicking he Adobe Acrobat PDF file icon below. The form is for both new member enrollments, as well as current member renewals. After printing, simply fill o the form and bring it to the next monthly meeting. You may also complete the form and mail it with a check for $20 to PO Box 892, Brandon, MS 39043.

Online Membership Form

If applying online, please complete and submit the online membership form to either (1) renew or (2) apply for a new membership in CMSARA.

Central Mississippi Amateur Radio Association
Membership Application

CONTACT INFORMATION

First Name

Last Name

Birthday (Optional)

Street / P.O. Box

City

State

Zip Code

Phone Number (Optional)

Cell Number (Optional)

Call Sign

License Class

FAMILY MEMBERS

Name #1

Call Sign #1

BirthDay #1

Name #2

Call Sign #2

BirthDay #2

Name #3

Call Sign #3

BirthDay #3

ARRL AND MEMBERSHIP

Are You a Current ARRL Member?

ARRL Membership Expiration Date

Whould you like to become an ARRL Member?

Annual Dues Worksheet

AMATEUR RADIO INTEREST

Do you have or mobile equipment you can use in emergencies?

HF VHF UHF

Can you operate on alternate power (generator, battery, etc.)?

Yes No

Message

Agree to Terms
By checking the "I Agree to the CMSARA Terms" checkbox and clicking the Submit button below, I acknowledge that acceptance of my application and subsequent membership in the CMSARA is subject to review and approval by a majority of the CMSARA members. I agree, to the best of my ability to abide by the rules set forth in the CMSARA Bylaws, as well as this site's Privacy Policy and Terms of Service.

Submit

I Agree to the CMSARA Terms.

Membership Enrollment

Paper Membership Form

Online Membership Form

Central Mississippi Amateur Radio AssociationMembership Application

Central Mississippi Amateur Radio Association
Membership Application