SOUTHWEST OHIO DX ASSOCIATION

Membership Application

Here is your opportunity to be a member of the organization that sponsors the DX Forum at the Dayton Hamvention® the largest attended forum of the entire convention; sponsors the annual DX Dinner® during Hamvention® weekend, a premier gathering of DXers from around the world; and encourages more and better DX through its programs and support of DXpeditions world-wide. Dues are only $12.00 and $1.00 additional for each family member annual on a calendar year basis. Simply complete this application, attach a check or money order for $12.00 U.S. funds and mail to:

PLEASE MAIL TO THE CLUB TREASURER OR SECRETARY

 Tom Inglin, NR8Z, 142 Apgar DR, Loveland, OH 45140

Mindi Jones, KC8CKW, 7035 Morris RD, Hamilton, OH 45011

IF YOU HAVE ANY QUESTIONS PLEASE EMAIL Mindi AT KC8CKW at FUSE dot NET or

Tom AT MTACRES at FUSE dot NET

Name________________________________________ Call __________________

Address_____________________________________________________________

City_________________________State_____________Zip/Postal Code__________

Country________________________________ ARRL Member YES     NO

E-mail address_________________________________________________________

License Class____________________________ Telephone #____________________

MEMBER DXCC?  YES   NO

INTEREST IN  CLUB (DXING, CONTESTING, ETC.)  Please explain interests :

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Other calls or Dxpeditions: