Upper Midwest Chapter 8 - Minnesota Membership Application Name ______________________________ Call _______ QCWA # __________* Street Address ______________________________________________________ City ________________________________ ST ___ Zip Code ______-________ Birthday (MM/DD/YYYY) ___/___/______     Phone Number ____-____-______ Email id ____________________________________________________________ ARRL Member Life:___ Yes:__ No:__ * You must be a member of QCWA before you can be a member of Chapter 8. Chapter 8 dues are $10.00 per year and payable by check or money order to "QCWA-8" at any meeting or via USPS to: QCWA Chapter 8 Tom Steele, AAØHQ 3570 Ridgewood Rd Arden Hills, MN 55112 http://www.qcwa.org/chapter008.htm October 15, 2009