Application Form CANDIDATE FOR MEMBERS "RU-QRP"

I’m,														 
                                                                      Full name, Callsign
														 
                                                   Category, WW Locator, e-Mail, Date of Birth

Ask the Council to the Club to take me to the members of the Club «RU-QRP». Charter Club accept, with the order of admission to the club read.
About me inform the following data:

Address												
WEB- Address 											
How old is keen on hamradio? _____________    How old is keen on QRP? ______________ 

Equipment and antennas used to work for QRP: ___________________________________________________________________________________

I am worthy to be a RU-QRP clubman as has executed a minimum one of introduction conditions as described in the Club Charter:
1. I have RU-QRP club rewards: ________________________________________________________
2. I have publications on the club website or in “CQ-QRP” magazine:___________________________
3. I taken part or support one of the RU-QRP activities (contests, games, annual meeting, expeditions):
___________________________________________________________________________________

How did you hear about our club?_________________________________________________

It is desirable to make your photo in *. jpg format for the club photo gallery (you can paste into profile).

Club’s e-mail: ru-qrp-club@mail.ru
Club Council:
Vladimir Timofeevich Polyakov	RA3AAE		ra3aae@mail.ru		President of the Club
Vladislav Evstratov		RX3ALL		rx3all@gmail.com		Deputy Chairman
Valery Bobrov		RW3AI		qrp@mail.ru		Contest Manager
Dmitry Gorokh		UR4MCK		ur4mck@gmail.com		Club’s website administrator
Alexander Ponomarenko	UR5LAM		ur5lam@bk.ru		QSL Manager
Vitaly Melnik		UI7K		mel74@ukr.net		Project Manager
Michail Bichegov		R7AO		r7ao@mail.ru		Deputy Contest Manager

Club Council elected by voting members of the Club on Nov. 18, 2018