Select Membership Level*Select LevelNew Ham Promo ($0)1 Year ($20) MembershipLifetime ($250) MembershipCurrent Amateur Radio License?Select valueYesNoCall sign(s)Applicant Name* First Last Address:* Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeEmail Address: For delivery of SSRA Rosters*Area Code & Phone NumberMay the SSRA share your information with other club members? Note: We never "spam" or share information with 3rd parties.*Select valueYES! Please ShareNo! Please Do Not ShareComments?Total:SubmitReset FormAfter clicking "Submit", you will be directed to PayPal, for your payment processing.