Membership Application for printing

HAMFESTERS RADIO CLUB

Our dues are $20.00 per year ($10.00 for additional family members and students). Dues are for the calendar year (Jan 1st to Dec 31st). Dues must be paid by the December meeting in order to continue your membership and be included in the roster.

Please send the completed form along with your first year’s dues to Membership Chairperson:
  Bob McDonald,  N9WDV;  15710 Old Orchard Ct.;  Orland Park, Illinois 60462

Please Print Plainly and Fill In All Spaces

Date_________________________________

Last name ____________________________

First name _______________________________

Address__________________________________________________________

City ____________________ State __________ Zip ____________________

Phone _________________________________

Callsign _____________________ Class ________

Are you an ARRL member _____ Date of Birth ___________________

Email Address ______________________________________________

Do you want to receive our emailed HamGab Newsletter?  Y / N

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 ____Elections ____Field Day ____Hamfest

____Web support  ____Special Events ____Net Control ____Hamgab Editor

____Raffles____Banquet ____RFI/TVI Modes 

Bands you operate_________________