Name ___________________________________ Call Sign _________
Street ___________________________________ Apt _____________
City _______________________________ State _____ Zip _________
Email Address ______________________________________________
Phone Number ______________________________________________
Don’t forget we operate strictly through your contributions. Several sponsors
have donated hundreds of dollars, many somewhat less. The Connection accepts
donations of any size and we recommend that you donate what typical repeater
club dues would be, $20 – $50. Please don’t feel you have to limit your donation
to this amount. All donations, regardless of size, support the Connection.
Please send a receipt for my donation of   $________. Yes ______ No ______
Please print the latest Connection information pages at
I am willing to volunteer for a work party, hamfest, etc. Yes ______ No ______

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