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Membership Application

If you are interested in becoming a HDXA member please fill out the following form or click here for a printable copy.

Dues are $5.00 a year. Please send to:

HAWAII DX ASSOCIATION

Attn: Membership

P.O. Box 1938

Hilo, Hawaii 96720

Please provide the following contact information:

First Name
Last Name
Middle Initial
Call Sign
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail
URL

Can we include your Name, Call, e-mail and Homepage on this web site?

Yes
No

Are you currently a member of the ARRL?

Yes
No

Do you have DXCC (ARRL)?

Yes
No

If yes please enter your certificate number:   

What type?

How many countries have you worked?

How how many countries do you have confirmed?

Comments:



Maintained by Dan Spears NL7UW Copyright 1999 Hawaii DX Association. All rights reserved. Revised: May 01, 2000