KCMGMRS Membership Application

Please fill out this application to become a member of the KC Metro GMRS Users Group. Membership is limited to residents of Kansas, Missouri, Iowa & Nebraska.

First Name

Last name

Address

City

State

Zip Code

GMRS Call Sign

Are you the Primary license holder?

Yes

No

If No, name the Primary license holder.

How many family members will be included?

Email address

Phone number (optional)

Your private information will be held in confidence.

Yes

No

Do you hold an Amateur radio license?

Yes

No

Amateur Call

License Class

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