Central Scotland FM Group

Membership Application / Renewal Form


Call-sign:_________________            Old Call-sign:_________________

Name:_______________________________________

Name used in QSO:____________________________

Local repeater:_________________


House Name / Number:___________________

Street:_________________________

Town:________________________

District / City:_______________

Postcode:__________________

Telephone (optional) ________________

Email (optional) ___________________________________

(newsletter is available in .pdf format, and will be sent by e-mail if requested.)


Membership Rates

Subscription Fee Enclosed: _______

{Donation:____ }


Please make cheque or postal order payable to "CSFM Group" and post along with this form to:

Crawford Ross, 16 Glebe Crescent, Airdrie, ML6 7DH