DX7NRD NORAD7 Inc.

DELTA XRAY SEVEN NOVEMBER RADIO DELTA Inc.

Negros Oriental Radio Amateurs of District 7
97 L. Rovira Road, Bantayan Dumaguete City
Tel. (035)4224686NORAD7 (Work Group)
Email address: dx7norad@gmail.com

2016 PARA Ham Radio Convention

ID
2X2

REGISTRATION FORM
CALL SIGN:

DISTRICT:

NAME:
(Family)

(First)

(Middle)

DATE OF BIRTH:

CIVIL STATUS:

SPOUSE:

SEX:

HOME ADDRESS:
RELIGION:
EMAIL ADDRESS:

CELL NO:

OCCUPATIONAL PROFESSION:

BLOOD TYPE:

EDUCATIONAL ATTAINMENT:

T-SHIRT COLOR :( Y) (B) (W) (R)

(Choose, please check)

SIZE: (S) (M) (L) (XL) (2XL) (3XL)

(Optional) ADDITIONAL TSHIRT: 150 EACH -(S-L)

180 EACH (XL-3XL)

IN CASE OF EMERGENCY CALL:

ALLERGIES (IF ANY)

CELL NO:

MEDICINE:

SIGNATURE
(Kindly send it back to dx7norad@gmail.com)