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Request a Membership Application or Other Service

Request information for membership, volunteering, radio camp sessions, hamfest brochures, and other handiham services.

Prefer to download and print?

Blind-Friendly Printable Text Application: Fill it out in notepad, then print, sign and mail by postal service to Handiham headquarters. It's easy, you only have to type your answer in right after the question, one per line:

Go to Printable Blind Text Membership Application

If you prefer, you can download, print, fill out and mail a PDF application instead:

Go to Printable Membership Application in Adobe PDF

If you have another specific request or wish to receive an application in the mail, please fill out the form below. When you have completed the required fields (the ones with the asterisk), please press the "submit" button to send the request to us via email.

Please include your email address in case we have any questions.

Please give us your first and last name.

Please add your street address and apartment number, if any.

Please add your city.

Please add your State or Province.

Please add your postal or ZIP code.

Please tell us your country if you live outside the United States.

Please give us any additional addressing information.

Optional: your telephone number with area code.

If you have an amateur radio call sign, please include it here.

Please let us know any special goal you have in ham radio.

Please define your request. You may also email us at hamradio@couragecenter.org with specific questions.