Scott County Amateur Radio Club

SCOTT COUNTY AMATEUR RADIO CLUB MEMBER #: MEMBERSHIP FORM DATE: PRINT OUT FORM AND MAIL WITH PAYMENT TO: SCARC, P.O. BOX 33, MORTON, MS 39117  NEW MEMBER  RENEWAL NAME: MEMBER SINCE:

ADDRESS: CALL SIGN:

CITY: LICENSE CLASS:

STATE AND ZIP: BIRTH DATE:

EMAIL: PHONE #:  Please add me to the monthly newsletter mailing list CELL #:

ADDITIONAL FAMILY ADDITIONAL ADDITIONAL FAMILY MEMBER FAMILY MEMBER MEMBER NAME: NAME: NAME: CALL SIGN: CALL SIGN: CALL SIGN: BIRTH DATE: BIRTH DATE: BIRTH DATE: ARRL? YES NO ARRL? YES NO ARRL? YES NO REQUESTING REQUESTING REQUESTING

As an ARRL Affiliate Club we offer a 50% Discount on our Club Membership to all ARRL Members. If you are a member of the ARRL, or join the ARRL at this time, or renew your ARRL membership at this time, then you qualify for our 50% club membership discount and may pay the ARRL Member Amount listed below as you dues.

ARE YOU AN ARRL MEMBER? ARRL EXPIRATION YES NO DATE

 I would like to join the ARRL (add Month Date Year $39.00)  I would like to renew my ARRL membership (add $39.00)

ANNUAL CLUB DUES WORKSHEET NON ARRL  New Member  Renewal ARRL MEMBE TOTAL MEMB R ER AMOUN AMOU T NT

 Regular $15 (ARRL Member Discount $15 $7.50 $7.50)

 Senior (65 and over) $7 (ARRL Member $7 $3.50 Discount $3.50)

 Additional Family Members $5 each $5 $2.50 (ARRL Member Discount $2.50) each each

Associate Membership (FREE!)  Licensed Amateur living outside Scott County  Unlicensed, interested in becoming Licensed $0

Total Dues $

 Prorated Dues: If Joining after June 30th divide by 2 (or subtract half) and enter here -----

Grand Total Dues $

 Club Donation $

 ARRL Membership ($39 each) Number of Memberships Requested: ___ x $39 = $

Grand Total (make checks payable to: Scott County Amateur Radio Club) $ I agree to abide by the SCARC rules and leaders’ instructions: Signature :______Date______

Areas of Amateur Radio which I am interested in. (Check all that apply. Don’t worry; checking items below doesn’t sign you up for anything.) Each item has three boxes.    Check the First Box if you are interested in learning more about that area or item    Check the Second Box if you have experience in that area or with that item    Check the Third Box if you would like to serve, teach, or lead in that area or with that item

   Elmering (Mentoring) Areas of Service and Committees:

   License Upgrade Courses    Welcome Committee    Tech    General    Extra    Public Service Committee    Club Meeting Program Committee    Volunteer Examiner    Field Day Committee    Public Relations Committee    Emergency Communications    Repeater Committee    ARES    RACES    NBEMS (FlDigi)    Education and Training Committee    Board of Directors    SKYWARN Storm Spotting    Club Officer    Basic Spotter Certification    Advanced Spotter Certification    Technical Support    Financial Support    Using Radio for Community Service    Fund Raising    Parades    Races    Events

   Club Presentational Programs Radio Direction Finding (DF):    APRS (Automatic Position Reporting)    Club Instructional Courses    Mobile Transmitter Hunting (T-Hunting, Fox Hunting)    Club Website    On Foot Transmitter Hunting    Combination T-Hunts (Mobile/Foot) Club Photography       ARDF Radio Orienteering    ROCA Walking Fox Hunt (Unlike ARDF the focus of

   Club Newsletter ROCA is on technical DF skill not physical stamina) Operating Stations: Annual Amateur Radio Events in MS:    Base Station VHF

   Base Station UHF    Field Day    Jackson HamFest    Mississippi ARRL Day in the Park    Base Station HF    Swap Meets (Junk in the Trunk)    Picnics    Base Station Antennas    Mobile VHF Large Annual Out of State Amateur Radio Hamfests and Events:    Mobile UHF    Mobile HF    HamVention, Dayton, OH (biggest)    HamCation, Orlando, FL    Mobile Antennas    HamCom, Dallas (Plano), TX    VHF/UHF Antenna Building    Huntsville HamFest, TN    HF Antenna Building    Knoxville Hamfest, TN    Atlanta HamFest, GA    Shelby HamFest, NC    MIT Swap Meet, Boston, MA    DeAnza Electronic Flea Market, Silicon Valley, CA    ARRL Headquarters & W1AW Station On the Air Operating Interests:    Text and Data Modes:    RTTY (Radio Teletype) Checking into Nets:       AMTOR (Teleprinting over Radio)    VHF Nets    HF Nets    CW Nets    SITOR (Simplex Teletype):    Digital Nets    Social Nets    Swedish ARQ  G-Tor  CLOVER    Newbie Nets    Special Interest Nets    EmComm Nets    ARES/RACES Nets    D-STAR (Digital Data)    NTS Traffic Nets    ARRL State Section Nets    Hellschreiber    Multi-Tone Modulation (MT63)    DX-ing (Making Long Distance Contacts)    DX-peditions (Operating from an Exotic or Remote    Multiple Frequency Shift Keying (MFSK): Location)    MFSK8    MFSK16    Earning Operator Awards & Certificates for Contacts    MFSK32    FSK441 Made    JT6M    JT65    Contesting (Participating in On the Air Contests)    Olivia    PAX    Contacting Special Event Stations    PAX2   Domino    Collecting QSL Cards    Thor    EchoLink    HSMM-MESH (Broadband HamNet)    Phase Shift Keying (PSK):    Satellite (OSCAR - Orbiting Satellite Carrying Amateur    PSK31    QPSK31 Radio)    PSK63    QPSK63    QRP (Low Transmitter Power)    PSK125    PSK Auto-Logging    HF Pack (Pedestrian Mobile)    Marine Operation (Operating from a Boat)    Spread Spectrum:    EchoLink    CHIP64    CHIP128    EME (Earth-Moon-Earth) Other New Modes:    IRLP (Internet Radio Linking Project)    ALE (Automatic Link Establishment)    Throb Modes of Operation:    Contestia    Voice Modes:    JT64    AM    FM    SSB    Ham DRM    Digital Voice:    Digital HD SSTV APCO25 D-STAR          WSPR (Weak Signal Propagation Reporter)    CW (Morse Code)    ROS    Radio BBS    RSID (Reed Soloman Identifier)    Email via Radio:    Peer-to-Peer (P2P)    Video ID    WinLink 2000    RMS Express/Winmor    STANAG    AirMail    Paclink    Outpost    HFDL    Packet Radio (AX25):    NAVTEX    APRS (Automatic Packet Reporting System)    SYNOP    Packet HF 300 baud    COQUELET    Packet VHF/UHF 1200/9600 baud Please list any other Amateur Radio Interests you have:    PACTOR 1    PACTOR 2    PACTOR 3    PACTOR 4    Image Modes:    ATV (Fast Scan Amateur Television)    SSTV (Slow Scan Amateur Television)    FAX (Facsimile)