GMCC Membership Application Form

(see below for dues info.)

 

. 
 
(A) Your Name:
(B) Email:
(C) Callsign:
(D) License Class: choose:  Novice  Tech  Tech Plus  General  Advanced  Extra
(E) Street Address:
(F) City:
(G) State:          Zip:
Optional:
(H) Home Phone:
(I) Year First Licensed:
(J) Other/Previous Callsigns:
(K) Most recent contest experience:
 
 
 
 
 

(L) Operating Awards Such As DXCC, WAC, WAS, WAZ, if any:
 
 
 
 
 

(M) Describe Your Station:
 
 

(N) Other amateur interests:
 
 

(O) Other non-ham interests:
 
 

I will make a reasonable effort to participate in ARRL and CQ contests and submit the logs in accordance with the contest rules. I will support and encourage other contesters and GMCCers in contesting.
(P) SIGNED: 

 

 

Print out and complete the form above then send a check made out to "GMCC" for $12 (dues for one year) to:

Bob Nickels, NØFCK
P.O. Box 46
Mack, Colorado 81525

Family membership is $18
Student (full-time) membership is $1 (please include name of the school you attend)

You will be sent a reminder postcard when it's time to renew.