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Updated November 7, 2Ø26 1219 CST
USCG Amateur Radio Club Registration and Information Update Form
11/07/2026 FORM IS TEMPORARILY OFFLINE. PLEASE SEND EMAIL WITH MEMBERSHIP INTO 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 any class!
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: