Swindon & District Amateur Radio Club Membership Form
This form collects basic information from you about who you are and what your interests are. The information will stay strictly confidential and will at no time be sold or passed to third parties. Most questions do not require an answer but we would appreciate if you could complete as much information as you feel confident to provide.
Personal Details
Full Name
Your answer
Callsign
If you are already licensed please supply your callsign.
Your answer
What year were you born?
We will use this to gain an understanding of the membership age.
Your answer
Telephone Number (Landline)
Your answer
Telephone Number (Mobile)
Your answer
Email Address
By providing your email address you will be added to our mailing list to keep you informed of forthcoming club events and other matters that may be of interest.
Your answer
Address
Your answer
Existing Member?
Student?
Are you in full time education?
Retired?
Radio Related
Interests?
Please tick any of the areas that you are interested in.
If you answered that you enjoy operating, please tell us what kind of operating you enjoy.
Your answer
Please state your profession if you feel it appropriate
Your answer
Comments
Please provide any other comments you feel would be useful.
Your answer
Submit
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