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c/o Mike Nie - W8VMX
6065 Kardon Ct.
Cincinnati, OH 45247

Please print this form and mail it,
along with $10 dues, to the address above:

Name: Call:
City, State, Zip:
Home Phone: Work Phone:
Pager (digital or alphanumeric?): If alphanumeric, who's your provider?
Email address:
Packet address:
Date of last NWS Spotter course:
Location of last NWS Spotter course:
What other ham radio groups are you a member of?
What bands and modes are you capable of operating?
Any other comments/suggestions/questions?