President: Bob Jacobson, K9CJ

Vice-President: Phil Snyder, N9LAH

Secretary/Treasurer: John Holmes, W9ILY

Webmaster: John Holmes, W9ILY

Contest Chairman: Jim Anderson, NV9X

CLUB CALL – W9TY  

3810 N. Chamlin Drive, Morris, IL 60450

www.metrodxclub.com

(PLEASE PRINT)

Address:______________________________________ License class:___________________

City:____________________________________ State: ______ Zip: ____________________

Phone:_____________________ E-Mail: _________________________________________

ARRL Member?    Yes______    No______  Use LoTW? Yes _____ No ______

Number of Countries – Worked___________ Confirmed_____________

Amateur awards received: ______________________________________________________

Other Amateur Radio clubs you belong to:

__________________________________________________________________________

Other information:……………………………………………………………………………

Occupation: ________________________________________________________________

Your Main Interests for club activities are:

Club sponsored DXpeditions: _________ Field Day: _____________

Helping maintain club web site ____________ Contest operating as a club: _________________

Other: _____________________________________________________________________

What other hobbies do you have?: ________________________________________________

_________________________________________________________________________

Metro DX Club

3810 N. Chamlin Dr..

Morris, IL 60450

U.S.A.

Metro DX Club

3810 N. Chamlin Drive

Morris, IL 60450

U.S.A.