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