Membership Application
International RV Service Net and
AMATEUR RADIO CLUB, WALLY BYAM CARAVAN CLUB, INTERNATIONAL
NAME_______________________ HANDLE____________ CALL___________
SPOUSE_____________________ HANDLE____________ CALL___________
ADDRESS_________________________________ TELEPHONE____________
CITY ___________________________ STATE_______ ZIP____________
NEW MEMBER____ RENEWAL____ ARRL?____ EMAIL___________________
LICENSE CLASS______________ WBCCI NO.___________
RV__________________
AMOUNT ENCLOSED____________
INITIATION________DUES________DECALS______ TOTAL______________
Cost: Initiation $2.00 (First time only) + Dues $7.00 per year.One decal is free to new members, additional decals $1.25 each.You may use a print of this form. Fill it out, with your check payable to Amateur Radio Club of W.B.C.C.I., and mail it to:Jack Mitchell AA8Q
4505 Daybreak Drive
Lebanon, OH 45036
*Membership Requirements: You must hold an amateur license (any class) and own any kind of RV or have an interest in travel and camping.Any questions about the RV Service Net or this page, please email N5RTG
rev 12 Jul 2010
N5RTG Jim