Membership Application

The NADXC encourages all club members maintain current membership in the ARRL.

ARRL Member YES _________ NO _________

NAME _____________________________________ CALL _________________________________

SPOUSE'S NAME ___________________________ LICENSE CLASS _______________________

STREET ADDRESS __________________________________________________

CITY ______________________________________ STATE ___________ ZIP _________________

PHONE (HOME) _____________________________ (WORK) ______________________________

EMAIL ADDRESS __________________________________________________________________

NO. OF YEARS LICENSED _________ OTHER CALLS HELD ______________________________

NO. OF YEARS AS AN ACTIVE DXER ___________ HONOR ROLL MEMBER ________________

DXCC COUNTRIES CONFIRMED TOTALS: MIXED __________ SSB __________ CW __________

OTHER RADIO CLUB AFFILIATIONS ___________________________________________________

FAVORITE DX ACTIVITY (i.e. LOW BAND DXING, CW, ETC.) _______________________________

WILL YOU BE ACTIVE ON:

2-MTR DX ALERT REPEATER? ____________________________

DX PACKET CLUSTER SYSTEM? __________________________

All licensed amateur radio operators interested in the pursuit of DX are eligible for membership in the NADXC.

The NADXC By-laws require that a prospective new member must receive an affirmative vote by the 3/4 of the Regular members in attendance at the regular club meeting when the application was presented.