{"id":3454,"date":"2023-02-15T16:21:44","date_gmt":"2023-02-15T21:21:44","guid":{"rendered":"https:\/\/bearbaitradioclub.com\/?page_id=3454"},"modified":"2026-03-28T23:12:31","modified_gmt":"2026-03-29T03:12:31","slug":"membership-application","status":"publish","type":"page","link":"https:\/\/bearbaitradioclub.com\/index.php\/membership-application\/","title":{"rendered":"Membership Application"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block\" id=\"wpforms-3449\"><form id=\"wpforms-form-3449\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"3449\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php\/wp-json\/wp\/v2\/pages\/3454\" data-token=\"94f20a18491b8c707d32871d5dc3026e\" data-token-time=\"1776347204\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-3449-field_1-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"1\"><label class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-3449-field_1\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][1][first]\" required><label for=\"wpforms-3449-field_1\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-3449-field_1-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][1][last]\" required><label for=\"wpforms-3449-field_1-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-3449-field_2-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-3449-field_2\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-3449-field_2\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][2]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-3449-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-3449-field_3\">Call Sign<\/label><input type=\"text\" id=\"wpforms-3449-field_3\" class=\"wpforms-field-small wpforms-limit-characters-enabled\" data-form-id=\"3449\" data-field-id=\"3\" data-text-limit=\"10\" name=\"wpforms[fields][3]\" maxlength=\"10\" ><\/div><div id=\"wpforms-3449-field_9-container\" class=\"wpforms-field wpforms-field-select wpforms-field-select-style-classic\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-3449-field_9\">License Class <span class=\"wpforms-required-label\">*<\/span><\/label><select id=\"wpforms-3449-field_9\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][9]\" required=\"required\"><option value=\"Technician\" >Technician<\/option><option value=\"General\" >General<\/option><option value=\"Extra\" >Extra<\/option><option value=\"SWL\/Other\" >SWL\/Other<\/option><\/select><\/div><div id=\"wpforms-3449-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-3449-field_4\">Street Address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3449-field_4\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][4]\" required><\/div><div id=\"wpforms-3449-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-3449-field_5\">City <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3449-field_5\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][5]\" required><\/div><div id=\"wpforms-3449-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-3449-field_6\">State <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3449-field_6\" class=\"wpforms-field-small wpforms-field-required\" name=\"wpforms[fields][6]\" required><\/div><div id=\"wpforms-3449-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-3449-field_7\">Zipcode <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-3449-field_7\" class=\"wpforms-field-small wpforms-field-required wpforms-limit-characters-enabled\" data-form-id=\"3449\" data-field-id=\"7\" data-text-limit=\"10\" name=\"wpforms[fields][7]\" maxlength=\"10\" required><\/div><div id=\"wpforms-3449-field_10-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"10\"><label class=\"wpforms-field-label\">ARRL Member <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3449-field_10\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-3449-field_10_1\" name=\"wpforms[fields][10]\" value=\"Yes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3449-field_10_1\">Yes<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-3449-field_10_2\" name=\"wpforms[fields][10]\" value=\"No\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3449-field_10_2\">No<\/label><\/li><\/ul><\/div><div id=\"wpforms-3449-field_11-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"11\"><label class=\"wpforms-field-label\">Membership Level:  Send Check\/Money Order to Bear Bait Radio Club, PO Box 172 Clay, NY 13041 <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3449-field_11\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-3449-field_11_1\" name=\"wpforms[fields][11][]\" value=\"$20 Full member\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3449-field_11_1\">$20 Full member<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-3449-field_11_2\" name=\"wpforms[fields][11][]\" value=\"$20 Associate Member\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3449-field_11_2\">$20 Associate Member<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-3449-field_11_3\" name=\"wpforms[fields][11][]\" value=\"$10 Student member (under 18)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3449-field_11_3\">$10 Student member (under 18)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-3449-field_11_4\" name=\"wpforms[fields][11][]\" value=\"$5 Additional family member (at same address)\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3449-field_11_4\">$5 Additional family member (at same address)<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-3449-field_11_5\" name=\"wpforms[fields][11][]\" value=\"$_ Personal Donation\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3449-field_11_5\">$_ Personal Donation<\/label><\/li><\/ul><\/div><div id=\"wpforms-3449-field_13-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"13\"><label class=\"wpforms-field-label\">By completing this form (below) in applying for membership in the Bear Bait Radio Club (BBRC), I agree to abide by the provisions of the Constitution and By Laws of the Bear Bait Radio Club and further to abide by any current edition of Rules and Regulations governing amateur radio a set for by the Federal Communications Commission. <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-3449-field_13\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-3449-field_13_1\" name=\"wpforms[fields][13][]\" value=\"I agree \" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-3449-field_13_1\">I agree<\/label><\/li><\/ul><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"3449\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/bearbaitradioclub.com\/index.php\/wp-json\/wp\/v2\/pages\/3454\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-3449\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/bearbaitradioclub.com\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-3454","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/bearbaitradioclub.com\/index.php\/wp-json\/wp\/v2\/pages\/3454","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bearbaitradioclub.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bearbaitradioclub.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bearbaitradioclub.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bearbaitradioclub.com\/index.php\/wp-json\/wp\/v2\/comments?post=3454"}],"version-history":[{"count":1,"href":"https:\/\/bearbaitradioclub.com\/index.php\/wp-json\/wp\/v2\/pages\/3454\/revisions"}],"predecessor-version":[{"id":3456,"href":"https:\/\/bearbaitradioclub.com\/index.php\/wp-json\/wp\/v2\/pages\/3454\/revisions\/3456"}],"wp:attachment":[{"href":"https:\/\/bearbaitradioclub.com\/index.php\/wp-json\/wp\/v2\/media?parent=3454"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}