Membership Payments – Suffolk County Radio Club

This form should be filled out by all new and renewing members so we know to expect your payment (regardless of how you choose to pay).

Please fill out all the fields below before making your payment.

Your name

Your email

Member Types and Dues Schedule - Club Membership runs from Jan. 1st to Dec. 31st
FULL MEMBER - Licensed Amateur Radio Operator with Voting Privileges - $40.00
ASSOCIATE MEMBER - Non-Licensed Member; No Voting Privileges - $20.00
FAMILY MEMBER - Immediate Family and Resides with a Full Member - $20.00
(* Voting Privileges for Family Member who is a Licensed Amateur)

Choose your Membership type

How do you intend to pay the membership fee?

Select your Member status

Choose your License Class

Call Sign (Enter "none" if unlicensed)

Address

Cell Phone Number

What are your Amateur Radio interest and/or affiliations?

This question helps us reduce spam.
The answer can be found in the contact menu.
ENTER IN CAPS.

What is the call sign of our club repeater?