Membership Contact Update Form

If you are an active member of the Granite State Amateur Radio Club and your contact or address information has changed, please use this form to submit changes.

Call Sign

Class

Birth Month

ARRL Member?

Yes

Name

First Name

Last Name

Address 1

Address 2

City

State

ZipCode

Primary Phone

(###)

###

####

Mobile Phone

(###)

###

####

General Questions

We are always interested in finding ways to help our club members all these questions are optional.

Ham Specific Information

If you have any additional node numbers or other modes you would like to share with the club please list them below.

What are your favorite areas of the Ham Radio hobby?

Do you participate in any of these activities below.

Check all that apply

POTA/SOTA/IOTA

Field Day (Winter/Summer)

Fox Transmitter Hunting / Direction Finding

Electronics Kits/Projects

ARES/Emergency Communications

VHF/UHF Modes

HF CW/SSB/Digital

HamShack/HamVOIP Extension #

Echolink Node

IRLP / All Star Node Number

D-Star Node Number

DMR Node Number

Fusion Node Number

Membership Contact Update Form

Granite State Amateur Radio Association

Granite State Amateur

Radio Association