New Member

by AE7YH | Nov 19, 2018

Price:

$21 for access until January 31, 2026

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1: Address Line 1 is not valid

Address Line 2: Address Line 2 is not valid

City: City is not valid

Country: Country is not valid

State/Province: State/Province is not valid

Zip/Postal Code: Zip/Postal Code is not valid

Enter Your HAM Call Sign Here. THIS WILL BE YOUR USERNAME FOR LOGGING INTO OUR WEBSITE:* Enter Your HAM Call Sign Here. THIS WILL BE YOUR USERNAME FOR LOGGING INTO OUR WEBSITE is Required

Email:* Email is Required

Telephone:* Telephone is Required

Preferred Name: Preferred Name is not valid

What is your Birthday Month / Day:* What is your Birthday Month / Day is Required

What is your Anniversary Month / Day If Not Applicable Please Use 00/00: What is your Anniversary Month / Day If Not Applicable Please Use 00/00 is not valid

YL/XYL/OM Name: YL/XYL/OM Name is not valid

YL/XYL/OM Callsign: YL/XYL/OM Callsign is not valid

Are You A First Responder: Are You A First Responder is not valid

Police Fire EMS Chaplain

Are you a Military Veteran ???

Branch of Service? Select All that Apply. : Branch of Service? Select All that Apply. is not valid

Air Force Army Coast Guard Marines Navy

Are you a Prior YLISSB Member ?:* Are you a Prior YLISSB Member ? is Required

Yes No

If Yes, YL System Sideband #: If Yes, YL System Sideband # is not valid

May we use photos of you for the website or newsletter? :* May we use photos of you for the website or newsletter? is Required

Yes No

ENTER ONLY YOUR HAM CALL SIGN IN THE USERNAME FIELD BELOW AND THEN CLICK THE CHECKBOX*

Username:* Invalid Username

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength Password must be "Strong" or stronger

Stripe

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I have read and agree to the Terms Of Service*

This site collects names, emails and other user information. I consent to the terms set forth in the Privacy Policy.

No val Please fix the errors above