Coshocton County Amateur Radio Association
Membership Application

*Call:
 
*Name:

*Address:

Phone:

Business Phone:

Cell Phone:

E-mail Address:

*ARRL Member: (Y/N)

*ARES Member: (Y/N)

*SkyWarn Member: (Y/N)

               * Required info

Individual Membership $20.00/Yr. - Family Membership $25.00/Yr. (Two or more hams living in the same household)
Mail to:
CCARA
C/O Coshocton County EMA
724 S. 7th Street
Coshocton, OH 43812