This Online Application form may be used if you intend to pay your membership dues online via Zelle. After submitting your application, use your Zelle App to send Dues to WA9ORC@gmail.com.

After receipt of payment via Zelle and verification of application information, your membership will be entered into the CFMC Club Roster.

Please complete all fields.

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Application Type

• New Member
• Renewal / Record Update
• New Ham (Tested with CFMC)

New Hams are those that passed their FCC Exam for the first time; Exam must be administered by CFMC.

Name *

First

Last

Call Sign *

License Class *

• Technician
• General
• Extra
• None (Associate Member)

New Hams select the highest class successfully passed.

ARRL Member? *

• Yes
• No

Email *

Phone *

Address, City, State, Zip *

Please enter your Mailing Address

Do you want your Phone Number published in the Club Roster? *

• Yes
• No

Do you want your Email published in the Club Roster? *

• Yes
• No

Do you want to receive the Squelch Tale (Newsletter) via Email? *

• Yes
• No

Emergency Contact Name (Optional and Confidential)

Person to contact in the event of an Emergency – OPTIONAL and CONFIDENTIAL

Emergency Contact Method (Optional and Confidential)

Phone Number or Email Address of Emergency Contact – OPTIONAL and CONFIDENTIAL

Type of Membership *

• $30 – Full Member
• $20 – Student Member (under 18 yrs of age and full-time Student)
• $20 – Senior Member (over 65 yrs of age)
• $20 – Disabled Member

Select Membership Status; New Hams (tested by CFMC) do not pay first year dues.

Payment Method *ZelleCash in-personCheck in-personCheck via MailNew Ham (Free)

How do you intend to submit Dues Payment? New Hams Tested by CFMC are Free.

Sponsor #1 Call Sign (New Members Only) *

Any of the CFMC Net Control Operators can be used as a Sponsor

Sponsor #2 Call Sign (New Members Only) *

Any of the CFMC Net Control Operators can be used as a Sponsor

Submit

By submitting this form, you agree to abide by the CFMC Constitution, Bylaws and Operating Practices. All information submitted is handled in accordance with the CFMC Privacy Policy.