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.

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