options for completing your application are:

IN PERSON: Print the PDF application, fill it out and bring it to any GOTAhams event/meeting etc. and turn it into the club treasurer or, if our treasurer is not present to any GOTAhams officer along with cash or a check for your chosen amount of dues. (Please bring cash in an envelope with your information on it or in it).

BY POSTAL MAIL: Print the PDF application, fill it out, add your check for dues payable GOTAHAMS and MAIL the check and application to:

GOTAHAMS

PO Box 1583

Chino, CA 91708-1583

ONLINE: use the form below to fill out the “Live” online application, on “submit’ it will automatically be emailed to our treasurer.

The buttons below offer instant payment options for GOTAhams membership via PayPal or Venmo

Name *

First

Last

Address, (street name, number) *

Address (line 2) Apt, unit, Space number

City *

Postal (Zip) Code *

for Family, Silver, Gold Platinum memberships Please add the names and Call signs (if any) and contact information for any family members you would like included in the membership

Amateur Radio call sign (if any)

Not required for unlicensed applicants, Licensed members will have their name and call signs included in the member list with QRZ link unless you specifically asked to be excluded.

Email *

Phone #

Amateur Radio License class (if Licensed) *

• Not Licensed (Yet?)
• Novice
• Technician
• General
• Advanced
• Extra

Please tell us what license Class you have achieved

ARRL Member *

• Yes
• No

CERT member (Community Emergency Response Team) *

• Yes
• No

Comment or Message

Level of membership requested *

• Student (no fees for student)
• Basic ($20)
• Family ($30)
• Silver ($50)
• Gold ($100)
• Platinum ($250)

Request for membership to GOTAhams *

• I agree to abide by GOTAhams by-laws
• I agree to share my email address with GOTAhams
• I request membership in the club

Please read our Hold Harmless agreement in the PDF above this online application, check the acknowledgememt and sign below *

• I have read and agree to the Gotahams Hold Harmless Agreement and my submission of this application represents my digital signature on that agreement

Please add your Digital Signature (Typed) *

Submit

Thanks for your interest in joining

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