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Membership Application

Enter your information in the form below: (Any entry with a * is required).

Call Sign: *
Last Name: *
First Name: *
Address:
City: State: CA Zip: *
Home Phone: *
Work Phone:     Cell Phone:
E-mail: *
Medical Training:
  CPR First Aid
  CERT
Other Medical Certifications & Skills:

Technical Skills:

Your Station Capabilities:
  Base HF Base VHF
  Base UHF Mobile HF
  Mobile VHF Mobile UHF
  Portable/HT VHF Portable/HT UHF
  WinLink D-Star
  Emergency Power DMR

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San Diego Amateur Radio Emergency Services - a 501.c.3 Non-profit Corporation | Terms of Use | Privacy Policy | Page Updated October 4, 2019