Join CQ Pride Augusta — CQ Pride Augusta

1 — Applicant Information

Legal Name (for records) *

Preferred Name (if different)

Call Sign (leave blank if unlicensed)

License Class

Technician (Tech) General Amateur Extra Not Licensed

Email Address *

Phone (optional)

Mailing Address (optional)

City

State

ZIP

Primary Area

Augusta / CSRA Elsewhere (please specify)

2 — Membership Class

Full Member Voting

$15/year

Voting rights at club meetings. Open to all licensed amateurs in the area.

Associate Member Non-Voting

$10/year

For those who no longer live in the area or cannot attend meetings regularly.

Family / Household Members (optional)

Additional family members in the same household may join at the Associate price of $10/year each. List their names below — leave blank if not applicable.

NameCallsignMembership Class

1.

Full Associate

2.

Full Associate

3.

Full Associate

3 — New / Returning Status

New applicant Returning member (was previously a member) Transfer from Associate → Full (requesting voting status)

4 — Interests (check any that apply)

Getting licensed (not yet licensed)

Technician study help

General / HF upgrade help

VHF/UHF repeaters & nets

HF operating

Digital modes

Portable ops (POTA/SOTA/Field Day)

Emergency communications education & readiness

Electronics / antennas

Public service events

Other interests:

5 — How Did You Hear About Us?

Hamfest Pride event Friend Website Social media Other:

6 — Acknowledgements

Please read and check each acknowledgement below.

Membership Approval Process: I understand that the Treasurer will present my application to the General Membership at a meeting, that admission requires a two-thirds (2/3) vote of Full Members present and voting at a meeting where quorum is met, and that dues may be handled according to club policy if my application is not approved.

FCC Compliance: I agree to follow all applicable FCC regulations governing Amateur Radio.

Appropriate Conduct: I agree to conduct myself respectfully at club meetings, events, and in all club-affiliated communications.

Safety & Protected Persons: I understand the Club may remove membership for sexually inappropriate behavior involving protected or vulnerable individuals, consistent with the club bylaws.

Felony Conviction Disclosure (required)

Have you ever been convicted of a felony?

No Yes

7 — Dues Payment

Dues Summary

Total: $15.00

Select Payment Method *

🅿️

PayPal

Pay with PayPal account or card

💵

Cash at Meeting

Bring dues to the next club meeting

📬

Check by Mail

Payable to “CQ Pride Augusta, Inc.”

🌈 CQ Pride Augusta is an inclusive, welcoming club. We welcome all licensed amateurs and those studying for their license, regardless of background, identity, or experience level.

Certification: I certify that the information above is true and correct to the best of my knowledge.