top_banner (12K)

NAQCC MEMBERSHIP APPLICATION FORM

READ THESE INSTRUCTIONS CAREFULLY AND UNDERSTAND THEM BEFORE FILLING OUT THE FORM BELOW. ALSO READ THE NOTES ABOVE EACH FIELD AS YOU FILL OUT THE FORM.

PLEASE BE SURE you have not forgotten that you are already a member. All you need to do is check the membership list at http://naqcc.info/memberlist.php and search for your call there in the "Callsign:" search box.

Fields below with ** require an entry. If they are blank, you will be instructed to return here and fill in the required info.

If you experience other problems, please read the info below the form carefully.

You should have all the email addresses on the Contact Us page on your approved list, or you may not get your membership certificate or any other emails from us.

Use TAB or your mouse to move between fields. Do not use ENTER.



Fill in your FIRST and LAST name here as you wish it to be shown on the web site member list. We DO NOT use any middle initials. Please use proper capitalization.
(Example: John Shannon, NOT JOHN SHANNON OR john shannon)
**



Fill in your on-air name here using proper capitalization. That is whatever you use when you say in a QSO - NAME IS __ or OP IS __
(Example: John, NOT JOHN OR john)
**



Fill in your ham call sign here using all capitals. If you are a SWL without a ham call sign, put SWL- here.
(Example: K3WWP, NOT K3wwp OR k3wwp)
**



Fill in your email address here, using proper case. Be sure it is a working email address and spelled correctly or you will never hear from us. We do not share email addresses with anyone except club officers who may need to contact you.
(Examples: js12345@mail.net, xyz@live.com).
**



Fill in your regular mailing address here using proper capitalization.
(Example: 478 E. High St., NOT 478 e high st OR 478 E HIGH ST)
**



Fill in your Town or City here using proper capitalization.
(Example: Kittanning, NOT kittanning OR KITTANNING)
**



If you live in the USA or Canada, fill in your 2-letter state or province abbreviation here using all capitals. Otherwise put "NONE" here.
(Example: PA, NOT pa OR Pa)
**



Fill in your ZIP or Postal Code here if you have one. Otherwise put "NONE" here.
(Examples: 16201, 99832, L3A 4X1, NONE)
**



Fill in your COUNTRY here. (NOT COUNTY)
Examples: USA, Germany, Brazil, Japan, Egypt
**



If you have your own website, put your URL here using proper case. Otherwise leave it blank. BE SURE to include the http:// or https:// or your web site link won't work.
Examples: http://home.windstream.net/johnshan/, https://sites.server.net/yourname/




This field is very important to us. Fill in as meaningfully and briefly as possible how you found out about the NAQCC.

DO NOT say vague things like A FRIEND, INTERNET, ON-AIR QSO. That means nothing to us.

GOOD Examples:
FROM K3WWP
HamCall.net
(MEMBER'S) WEB SITE
QSO WITH (MEMBER)
ELECRAFT REFLECTOR
QST ARTICLE
QRZ.COM
BING SEARCH

**





If after submitting the form you get any kind of error message, just send the required info in a regular email with the subject "NAQCC Membership Application" to pix_email_va3rj (1K) or club president Paul, N8XMS, at pix_newemail_n8xms (1K). (These are not links and must be entered into your email address line by hand.)

If the form submitted correctly and you don't get an email issuing you a number within a week, be sure the email addresses mentioned above are in your email approved list, then check back with us. We DO NOT respond to those who send us an email saying WE must add our email address to their approved list. That is YOUR responsibility, NOT OURS.