HAMFESTER RADIO CLUB Inc.
Membership Application
Our dues are $15.00 per year
($7.50 for additional family members and students). Dues are for
calendar year (Jan 1st
to Dec 31st) and are due September 1st. Dues must be paid by the
December meeting in order to
continue your membership and be included in the roster.
Please send all completed forms
to membership Chairperson: Brian
Davis, W9HLQ
17038 Oconto Ave.
Tinley Park,
Illinois 60477
Please Print Plainly and Fill In All Spaces
Date_________________________________
Last name ____________________________ First name ________________________________
Address _______________________________________________________________________
City ____________________ State __________ Zip ____________________
Phone _(____)_____________E- mail Address _______________________________________
Callsign _____________________ Class _________________ Are you an ARRL member _____
Date of Birth ________________ Year first licensed ___________________________________
Occupation (include even if retired) _________________________________________________
Business Address _______________________________________________________________
Business phone _(____)_____________________
Other Hobbies __________________________________________________________________
____Publicity ____Newspaper ____Club Officer
____Refreshment ____Membership ____Board Member
____Programs ____Audit ____ Class instructor
____Awards ____Special Events ____Net Control
____Elections ____Field Day ____Hamgab Edition
____Raffles ____Hamfest ____Packet Sysop
____Banquet ____RFI/TVI
Bands you operate____________________
Modes ______________