Carolina DX Association W4DXA

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CDXA Membership 2026 Application Form

To Join CDXA complete the following form then click the correct Paypal Button below to pay using a credit card or your own Paypal account.

Yearly Dues are $15.00: For a second Licensed Amateur family member living in the same household the total price is $20.00 per year. For 3 or more licensed family members living in the same household the total price is $25.00 per year.

Complete the below form and follow the instructions, else if you prefer, you can print and complete an application form (pdf) to join or renew your membership by regular mail or giving it to the Secretary/Treasure at a weekly luncheon. If that's your choice, for the application form.

* Fields in RED are mandatory. If no Amateur Call enter NONE.
 New Application    Update my Information    Make Donation to CDXA
 
First Name *:  Last Name *:
Amateur Call *    Call Change No Yes         If Yes, Previous Call
License Class     License Exp. Date
Email Address *
Street or PO Box  
City      State:      Zip Code:      Country:
Grid Square (6 Character) *
Phone Home     Cell       Work 
Publish Telephone Numbers in Online Roster. Yes  No
Publish Email Address in Online Roster. Yes  No
 
Paying by Paypal, Enter the amount here so we can credit your account correctly.   $

If this is a Family Membership, please complete the Following.

Family Mem  # 2      First Name:     Email:   Publish in Roster. Yes  No
Call:     Lic.. Class:   Lic. Exp. Date:

Family Mem  # 3      First Name:     Email:   Publish in Roster. Yes  No
Call:     Lic. Class:   Lic.Exp. Date:

Family Mem  # 4      First Name:     Email:   Publish in Roster. Yes  No
Call:     Lic. Class:   Lic.Exp.Date:

Before submitting this form, please enter the characters you see in the image:
Image verification          

After clicking the [Submit Form] button, and no form errors are encountered, a new page,
[Thanks! We've received your application] with a [Click Here] to return back to the Application form to complete the PayPay information.


Now select the correct paynow button to pay your Dues.

Individual Membership:                             $15.00
Last Name and Call
Family membership for 2 members in same household:                   $20.00
Last Name and Call
Family membership for 3 or more members in same household:       $25.00 
Last Name and Call
Make a donation to CDXA (optional):    
Donations go to support of the CDXA club, CDXA Website, and DXPeditions.
 
Make a donation to CDXF a 501(c)(3).:
All donations go to supporting DXPeditions.
 

Clicking a Pay Now Buttons will open a secure web page on PayPal.com. The correct amount is entered by the Button you select.
If you happen to have your own PayPal account, you can use it to fund the transaction.. If you want, instead, to use a credit/debit card to fund CDXA's PayPal account, scroll down below the PayPal stuff and click on credit/debit card or wallet, or just mail a check made to CDXA for the specified amount and mail to Ray Weeks, 5010 Sharon Rd. Apt 401, Charlotte NC 28210.

Ray Weeks, N4APR
Carolina DX Association
5010 Sharon Rd. D 401
Charlotte, NC 28210
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