FDIM 2018 Registration
 
Your Name:
First or Given

Last or Family
Seminar: @$41 Banquet: @$36
Callsign:
Name on Badge:
Email:
Telephone:
City:
State/Country:

Zip/Postal Code:
Holiday Inn Fairborn is sold out!
Please help with our planning by completing these items.
I plan to participate in the Show and Tell
I plan to participate in the Homebrew Contest:
I am interested in spouse activities
Additional Registrants
Name:
First or Given Last or Family Call or XYL: Seminar: Banquet:
Name:
First or Given Last or Family Call or XYL: Seminar: Banquet:
Name:
First or Given Last or Family Call or XYL: Seminar: Banquet:
For the latest FDIM information, please visit http://www.qrparci.org 
Questions, please contact Norm, WA4ZXV at fdim@qrparci.org

BE SURE TO CLICK ON THE RETURN TO MERCHANT LINK IN PAYPAL TO RECEIVE YOUR INFORMATION