Membership
Application
Date:______________________
NAME:_______________________
NEW MEMBER:____ RENEWAL:___
CALL SIGN:___________________
ADDRESS:____________________
CITY, STATE, ZIP:______________
PHONE#______________________
E-MAIL:______________________
2008 Membership Fees
$30.00 - Regular Membership per year
Please mail your application, along with your check payable to
SUHFARS to:
Kirby Giampa - KA9UMJ
25700 North Oak Court
Barrington, IL. 60010