MEMBERSHIP APPLICATION / MEMBER INFORMATION UPDATES

This form is used for two purposes. To apply for membership in the Florida Contest Group (FCG) or to update existing members’ information with the FCG.

To apply for membership in the Florida Contest Group, please completely fill out the information below, indicating Type as New Membership, and pay dues. Dues are only required for members who live in Florida and pay at least $5 as one-year dues. See below for payment instructions. (If you are age 23 or less, or a family member of a due’s-paying member, there is no charge for membership.) Registration as a new member in the FCG will be complete when at least one year’s dues have been received. When applying for FCG membership, please make sure that all information is complete and correct.

For existing members’ whose information such as home addresses, email addresses, telephone numbers, license classes, etc., have changed, please fill out the information below, indicating Type as Membership Info Update. When updating your membership information, please make sure that all information is complete and correct.

Once completed, information submitted on this form will be processed by the FCG Treasurer, and advised when successfully processed, or if there are questions.

Membership dues are as follows:

No Cost - anyone less than 23 years old
$5 - 23 years old or older
$5 is the same for family membership (no additional dues for spouse or children)

* indicates required field

Type (New Membership / Info Change)*

Your Call:*

Name:*

Address:

Address 2:

City:

State:

Zip:

Florida County:

Country:

ARRL Member?*

YES NO

Email:*

Re-enter Email:*

Telephone (numbers only):

ARRL Section:

License Class:*

Grid Square:

Website URL:

Send us a little information about your radio activities:

Date Of Birth: (only if under age 24)

Dues payment preference:*

Payment by check should be made payable to Joe Pfeuffer and sent by US Mail to our treasurer:

Joe Pfeuffer, KW1K
13636 Weatherstone Dr.
Spring Hill, FL 34609

Be sure to write your call on your check. If you send an email with your check number to you will receive a confirmation email when your check arrives.

We also accept payments using PayPal. Our PayPal account is . PayPal payments must be made to friends and family or the payment will be returned. We do not accept payments for goods and services.