Custom Illuminated Callsign

Order Form

Welcome to the Order Form for Free Custom Callsigns made possible by Selina from ‘Art by Selina’ and hamshack.ca. Free Custom Callsigns are offered to structured amateur radio clubs with a President, Treasurer and Secretary listed on the Club website.

Enjoy your Callsign and be sure to tell your club members and fellow amateurs about this great deal and the awesome folks at ‘Art by Selina’ and hamshack.ca

Club Name

Club Callsign

Club Website

Club Structure Confirmation

President Club Secretary Club Treasurer

Club President

Club President Email

Street Address

City

Province

Postal Code

Comments/Additional Details

Yes, please proceed with my Order!
Yes, I wish to order a FREE Custom Callsign. I agree that I will be contacted via the email address provided to confirm that I am the President of the Amateur Radio Club submitted on this Order Form and that the Club meets the requirements to receive a FREE Custom Callsign.