MEMBERSHIP APPLICATION FOR THE 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      Mail 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 (Amateur Radio Relay League), applying for membership through
the West Georgia Amateur Radio Society helps the club. To maintain the special ARRL club
affiliation, the West Georgia Amateur Radio Society will need to have at least 51% of it's
members hold membership in the ARRL. If you are not a member of ARRL, please consider
joining the ARRL.

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