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3900 CLUB MEMBERSHIP APPLICATION
NAME _____________________________________ CALL ___________ AGE _____
ADDRESS: STREET ____________________________________________________
CITY __________________________________ STATE _________ ZIP ___________
Email Address: _____________________________ BIRTHDAY __________________
LICENSE CLASS ________________________ EXPIRATION DATE ______________
YEARS LICENSED ______ CALLS HELD ____________________________________
ARRL MEMBER? YES ___NO ___ XYL'S NAME ______________________________
OTHER FAMILY LICENSEES ______________________________________________
EQUIPMENT
HF TRANSCEIVERS _______________________________________________________
AMPLIFIERS _____________________________________________________________
ANTENNAS _____________________________________________________________
VHF / UHF TRANSCEIVERS __________________________________________________
AMPLIFIERS _____________________________________________________________
ANTENNAS ______________________________________________________________
OPERATING INTERESTS
CW__ SSB__ RTTY/AMTOR__ SLOW/FAST SCAN TV__ PACKET___MARS ___
SATELLITE ___ TRAFFIC ___ CONTESTS ___ ARES/RACES ___ OTHER __________
OTHER AMATEUR RADIO CLUBS
_____________________________________________________________________________
ARRL/ELECTIVE/APPOINTED OFFICES HELD
_____________________________________________________________________________
AWARDS
WAS ___ WAC ___ WAZ ___ DXCC PHONE ___ CW ___ MIXED ___ RCC ___ A1 OP ___
LIFETIME MEMBERSHIP IN THE 3900 Club is $2.00. There are NO annual dues.
The 3900 Club is an affiliated ARRL Club and is incorporated as a non-profit organization in the State of Iowa. Following the filing of your application, you will be introduced and your application will be read immediately after the bulletin during the next Sunday on-the-air meeting on 3900 Khz.
Send application to:
The 3900 Club Inc. - WØFZO
Tom Huber - WDØBFO, Secretary/Treasurer
7518 Chandler Hills Dr.
Bellevue, NE. 68247-2108
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