N.F.L. Amateur Radio Club
Membership Application

*Name:
Call: Class: License Date: ie 01/25/2006
Gender: Male
Female
Address1:
Address2:
City: State: Zip:
Phone:
*Email Address:
Spouse's Name:
Call: Class: License Date: ie 01/25/2006
Hobbies other than Amateur Radio:
Would you like to serve on committees?
Would you be interested in holding offices?
Would you be interested in serving as a VE?
Would you be interested in teaching others?
Anything else you wish to add:
Visual verification:
Type the letters shown in the picture
   
Signature:

Print the form after filling it out ( bring it to the meeting or mail to PO. Box 195 Corsicana, Tx. 75151-0652)
or
hit submit to email it to us.

All information is sent to the President and brought before the membership for consideration.
Approved: Date:
Club Number: Status:
This form ©2006
and updated on