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

FireStats icon Powered by FireStats