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NAQCC MEMBERSHIP APPLICATION FORM

READ THESE INSTRUCTIONS CAREFULLY AND UNDERSTAND THEM BEFORE FILLING OUT THE FORM BELOW. ALSO READ THE INSTRUCTIONS ADJACENT TO EACH FIELD BELOW. THANK YOU.

Please use proper capitalization when filling out the form, i.e. John, not john or JOHN - San Jose, not san jose or SAN JOSE, etc. Thank you

PLEASE BE SURE you have not forgotten that you are already a member. We receive a duplicate application every once in a while, and that wastes our time as well as yours. All you need to do is check the membership list on the NAQCC web site at http://home.windstream.net/yoel/memberlist.html and search for your call there.

Fields with ** require an entry. If they are blank, you will be instructed to return here and fill in the required info.

If you experience other problems, please read the info below the form carefully.

Use TAB or your mouse to move between fields. Do not use ENTER.

You must have the following email addresses on your approved list or you may not hear from us. We DO NOT respond to those messages that say WE must add ourselves to your list.

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First and Last Name **
Example - John H. Shannon, Peter R. Jones, Alvaro Gonzalez - Whatever you want on your membership certificate.



Your on-air name **
Example - John, Pete, Al - DO NOT PUT YOUR CALL LETTERS HERE.



Call **
All CAPITAL letters, SWL's put SWL- here.



Email address **
You MUST put a legitimate working email address here or you will never hear from us. Please double check for correct spelling before submitting.



Mailing Address **
Example - 478 E. High St.



City **
Example - Kittanning, Buenos Aires, Moscow



State, Province **
Non-USA/Canada stations put NONE here



ZIP or Postal Code **
If your country doesn't use zip codes, put NONE here



CountRy (NOT County) **
Example - USA, Germany, Brazil, Japan, Egypt - do not put a COUNTY here!



Home page URL (if any)
Be sure to include the http:// or https://.



How did you find out about the NAQCC **
This info is very important. Please be as specific as possible in describing the source where you found the NAQCC info. Just saying 'Internet' means absolutely nothing to us. Just saying 'a friend' means absolutely nothing to us. Say specific things like 'K3WWP web site', 'QSO with W2LJ', 'searching for QRP/CW', 'QRP-L mail reflector', 'QST Magazine', 'FISTS Keynote', etc. You get the idea.





If after submitting the form you get any kind of error message, just send the required info in a regular email with the subject "NAQCC Membership Application" to the first of the three email addresses listed above the form.

If the form submitted correctly and you don't get an email issuing you a number within a week, be sure the three email addresses listed above the form are in your email approved list, then check back with us. We DO NOT respond to those who send us an email saying WE must add our email address to their approved list. That is YOUR responsibility, NOT OURS.