Select Membership Level or Contribution Only*Select LevelNew Ham Promo ($0) Complimentary1 Year ($20) MembershipLifetime ($250) MembershipContribution Only ($50)Contribution Only ($100)Contribution Only ($150)Contribution Only ($200)For Higher Amounts, Please Contact the SSRACurrent Amateur Radio License?Select valueYesNoCall sign(s)Applicant Name* First Last Address:* Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeArea Code & Phone NumberEmail: For electronic delivery of SSRA Rosters*May we share information with other members?*Select valueYES! Please share my information with other membersNo! I prefer my information NOT being shared with other membersComments?Total:Submit SSRA Application or ContributationReset FormThe following page will direct you to PayPal, to process your membership contribution. New Ham? Clicking SUBMIT either sends your application, or processes your contribution. Complete the following PayPal information screen to contribute to the SSRA.