Membership Application

CDG Membership Application - please insert data.

If it is not posible to send please open here.

First name:
Second name:
Your call:
Your ww. locator:
A. R. O. Class:
Your Radio Club is:
Address :
Phone number:
E-mail address :
Web page :

Please send your photo named with your call in high resolution with this application !

*Your DIGI DXCC num.*
*Num. of entityes WKD*
*Num. of entityes CFM*

*Other DXCC*
*Num. of entityes WKD*
*Num. of entityes CFM*

*QSL Cards sending ?*	*Yes* No

*Membmer of CDG must send QSL Cards !*

I am interesting in this Digital Mode:

*PSK*
*RTTY*
*SSTV*
*Packet*
*Pactor*
*Amtor*
*Throb*
*MT63*
*Hellshreiber*
*Olivia*
*All Digital Mod.*

Please insert your message

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