In our 30th year of operation!

                  Official Website of The US Coast Guard Amateur Radio Club - W5CGC 

Affilated with the CG CW Operators Assn, CGC Ingham Museum ARC

and the CGC Taney Museum ARC

SSB Net Podcasts

Home

About Us

SSB Net Check in/Contact Us

This Week's SSB Net Log

This Week's CW Net Log

USCG Amateur Radio Club Registration & Update Form

USCG Amateur Radio Club Officers and By-Laws

USCG Amateur Radio Club Members

CW Operators Assn Members

Original ZUT Numbers List

CW Operators Assn Website

CGC Ingham Museum ARC

In Memoriam - AD4PT



Updated  April 8 223  1334 CDT

 

USCG Amateur Radio Club Registration and Information Update Form


Webform email services are currently unavailable while the webhosting company updates their servers. Please email your request for membership or membership updates to info@w5cgc.org


Membership is FREE but open ONLY to those who are serving on active duty or have served in the USCG/USCGR and have a valid amateur radio license.
 

 

Coast Guard Amateur Radio Club Registration & Information Update Form

Name Call Sign (Required)

Street Address Apt # 

City State Zip Code

Phone Number

E-Mail

Previous Call Sign(s)         

COAST GUARD BACKGROUND (Required)

When/where did you enlist?

When/where were you retired/discharged?

Rate/Rank at retirement/discharge.

CG CW Operators Assn. member?  Yes No    If yes,  ZUT Number?

Duty assignments from boot camp on. (Use day/month/year if possible & rate/ranks at each duty station. Please include all service schools & class numbers. Much information may usually be obtained from the back of your discharge certificates).

 

Ham Station description:

Special Interests/Hobbies:


Submit button not operational at this time.