Please use this form to update the information we have stored about you in the Southeastern DX Club database. Except for callsign, name and email address (which must be filled in) just leave blank any fields that haven't changed.

      If you're not sure what we have, please fill it all out :)

      Callsign:
      Name:
      Spouse's name:
      Address:
      City:
      State:
      Zip/Postal code:
      Country (if not US or Canada):
      Daytime phone:
      Evening phone:
      Fax phone:
      Mobile (cell) phone:
      E-Mail:
      IMPORTANT: List your full E-Mail Address ie: JohnPublic@AOL.com  

      If applicable, please list other
      callsigns you've held:
      License class: Extra  Advanced  General  Technician  Novice
      Member of ARRL? Yes  Lifetime  No
      DXCC? Mixed  Phone  CW  RTTY
      Member of the DXCC Honor Roll? Yes  No 
      Member of the SEDXC Hall of Fame? Yes  No 
      W4NT Award? Yes  No 
      5BDXCC? Yes  No 
      5BWAC? Yes  No 
      5BWAS? Yes  No 
      Please list any other awards
      you want recorded in the database:
      Have you held an office in the SEDXC?
      Please list with dates:
      Interests: SSB  CW  RTTY  VHF/UHF
      Contesting  Field Day 
      Add any comments you wish here:

      Click the "SUBMIT" button below to submit this form.

      If you have any problems submitting your Database Update Form, click to email us about your problem.

      Note: If, after you press the "SUBMIT" button, you don't get a screen letting you know that your Database Update Form has been successfuly sent, fix the indicated errors and try again.

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