Subject : (please choose) 

Last Name:    First Name:   MI:   
Call Sign:    License Class:    
Date of Birth:   
Address:    City:    State:   
Country:    Zip Code:   
Home Phone:    Work Phone:   
Email Address:   
Home Page Address:   
Other Club Affiliations:   
                               Membership Donation:    $30.00   

    I have read and agree with the SPIDER AMATEUR RADIO CLUB Constitution and By-Laws and with the provisions of the FCC Part 97 Rules and Regulations dealing with the Amateur Radio Service.   
    Additionally, I have been briefed by the Technical Committee or his/her representative about the club patch and operating procedure and fully understand it.   

Applicant's Signature:    Date:    

    Please send a copy of your FCC issued Amateur Radio License together with the applicable donation to the SPIDER' s address below.  Your application will be processed after receipt of both requirements.  If you have a scanned copy of your picture and you want it to be posted on the club Members' List, please email it to the webmaster at   A short write up of your background information will also be needed for the member's profile if so desired.  Thank you.   

SPIDER Amateur Radio Club
1847 Deep Haven Lane San Diego, CA  92154