FISTS CODE BUDDY APPLICATION

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Mail to:
FISTS Code Buddy Coordinator:
W3HEM - HEMARC
PO Box 1693 - MS 4015
Baltimore, MD 21203
     

Name ___________________ Call ___________

Address ________________________________

City ____________________________________

State _________ Zip/Postal Code ____________

Phone Day ______________________________

            Evening ___________________________

             Fax ______________________________

E-mail address ___________________________

License Class __________ FISTS# ___________

Code Speed - comfortable at ___________ wpm

Are you (check all that apply):
____ Looking for a Buddy to help you improve?

____ Work with a Buddy to help them improve?

____ Buddy around the same level for practice?

Bands Available: __________________________

Days & Times ____________________________

_______________________________________

Special Interests (this helps match you with
someone with common interests):

_______________________________________

_______________________________________

Best propagation areas (states/call areas/etc.)

_______________________________________

_______________________________________

Comments ______________________________

_______________________________________

Visit our Club web page at http://www.FISTS.org
When You've Worked a FISTS, You've Worked a Friend