Montreal Amateur Radio Club

COURSE REGISTRATION FORM

May 2021

Course is held via Zoom from May to mid-July.

Fields marked with * are mandatory

 

Last Name: *
First Name: *
Address: *
City: * Prov: *
Country: Postal code: *
Home Phone: *
Work phone: ext.:
E-mail: *

 

Course Registration : $100.00

 

What is your knowledge level in Radio and/or Electronics?
Where did you learn about our course?: *
Date: 2021-04-20