All members will receive full color certificate,
suitable for framing, a wallet sized membership card
and the MS Word doc template for the qsl card.
Please help us to keep the memory of this fine ship alive...
USS HISSEM Amateur Radio Club N5HVN
c/o Charles J. Walsh, Trustee
36878 Harford Ave
Barstow, Ca 92311
760-256-8060
-or- email
trustee@nhvn.org
Name____________________________________Rate/Rank (if applicable) _________
Years aboard Hissem (if applicable) ____________
Address____________________________________ City___________________
State______ Zip_______
Phone_____ _____ __________ Email Address: __________________________________
* * * * Amateur Radio Callsign:_________* * * * Class:________* * * *
* * * * Please fill out completely, info needed for Certificate* * * *
...thanks, and Welcome Aboard
