IR-DX Membership form

You are free to contact one of the directors also !

Read this before complete your registration

IR-DX club members have chosen to become member of the club and have agreed to use their IR callsign as their primary callsign.
We know from experience that this is not always the case, the IR-DX HQ is not there to enforce members commitment, but to
allow members to have fun, using the IR callsign is a choice and we are proud to have many members who are also members of
several clubs, who do us the honour of using the IR callsign the HQ has allocated to them as often as possible.

To apply for membership please complete all questions and double check if there is no mistake in your answers (email, phone n° ect.)

* are required fields

    *

    *

    * please give a few preferred numbers

    I want my (choose your preference) :

    * address printed in directory

    * state or district

    recommended by who?

    * mobile number

    * phone number

    * e-mail address

    * name and surname

    Gender :

    * e-mail address

    * private address

    (PDF or DOCX)
    upload your "curiculum vitae" (with info about your DX-experiences and your passions)

    ( verificator )