North Augusta Belvedere Radio Club Membership Application Please enable JavaScript in your browser to complete this form. Please complete this form. You may submit this form or bring a printed copy to a club meeting. Dues are currently $20 for an individual and $25 for a family You may also print and fill out the form from the pdf here.Call SignFull Name *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *License ClassNoviceTechnicianTechnician PlusGeneralAdvancedExtraPreparing for ExamARRL MemberYesNoARES MemberYesNo interest in joiningNo not interestedFor Family Membership please list name call sign Send Application