Membership Application

Be good to your friends: invite them to be CCRA members

Capital City Repeater Association

"Serving the Capital City in a Capital Way"

A PDF version of the membership application is also available. This membership application is in a tri-fold format for passing out at hamfests but will work until a new form can be developed. If you don't currently have Adobe Acrobat on your computer you can get it from Adobe's web site.

Name:

Email:

Call:

Street Address:

City: State:

ZIP+4: -

Home telephone number: ( ) - May we list your number on the roster?

ARRL member?

A CCRA membership covers all family members that are licensed and live with you. List their names, call signs, and email addresses:

Name:

Email:

Call:

Name:

Email:

Call:

Name:

Email:

Call:

Check the type of membership:

1 year associate for those outside central Ohio ($7.50)

1 year full ($15.00)

2 year full ($28.00)

3 year full ($41.00)

Yes! I want to help. My donation of $ is enclosed to help the CCRA system grow.

At the present time you will need to print this form and mail it with your check.

Be sure to place your call sign on all checks and correspondence and mail to:

CCRA
913 Middlebury Dr N
Worthington, OH 43085-3372

Note: All full members receive a User ID on the 147.24/222/84/52.84 MHz, and the 145.43/444.55 MHz repeaters which use the A/D Technologies DRC-186 digital controller. This number is used for speeddialing, personal voice mail, directed reverse autopatch, paging and access to you programmable directory of 100 speed dials. Some of these features are available in limited numbers on our other repeaters. If find a need for any of the features on the other repeaters, contact the club secretary at the email address listed below. To become a member please print this form with the print feature on your browser and mail to the address above.

Thanks.

CCRA