HAMFESTER RADIO CLUB Inc. Membership Application Our dues are $20.00 per year ($10.00 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 __________________________________________________________________ Committees you would like to serve on: Positions you might consider: ____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 ______________