VK QRP CLUB
CW OPERATORS’ QRP CLUB INC.


Below is a copy of an Application for Membership, please feel to print this form in pdf format.

VK QRP CLUB
CW OPERATORS’ QRP CLUB INC.

Application for Membership

Ordinary Membership of the CW Operators’ QRP Club Inc.
Please print

First Name: ……………………………………………………

Surname: ……………………………………………………

Callsign: ………………………………. (swl’s are welcome)

Address: …………………………………………………….

…………………………………………………….

…………………………………………………….

Email Address: …………………………………………….

Please enclose the annual membership fee: VK AU$15.00, Asia-Pacific AU$16.00, Rest-of-the-World (inc. USA & Europe ) DX AU$18.00.

I agree to my details being held on the Club’s data base and my name, callsign, city, and country, being published.

I do / do not want CW Ops emails.

Signature: ………………………………………………………

Sponsor (If any): ……………………………………………... (insert member’s name & callsign.)

You will receive a new member’s pack and membership number. Subs are due on 1st Jan each year. We will adjust the amount on your account in September. A receipt will be given only if you ask when making a payment. Please mail this application to:

Kevin Zietz VK5AKZ, Treasurer CW Ops QRP Club, P.O. Box 1018, Pasadena, SA 5042, Australia