Contact Information Request
Elkhorn Valley Amateur Radio Club Contact Information
We are trying to compile a corrected list of contact information. Please fill out the form below. Information below will be sent to Aaron, KT0Q.
Name
First Name
Last Name
Amateur Radio Callsign
Level of License
Technician
General
Extra
Novice
Advanced
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Cell Number
Please enter a valid phone number.
Format: (000) 000-0000.
Home Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Are you an ARRL Member?
Yes
No
Are you an ARRL VEC Volunteer Examiner
Yes
No
I consent to sharing the follow information with other club members on the club call sheet.
Address
Email
Cell
Home
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