MEMBERSHIP APPLICATION FORM
AMATEUR RADIO CLUB
WALLY BYAM CARAVAN CLUB, INT.

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:

Suzanne Cronin, KB5SVC
150 Willow
Zavalla,TX 75980

Membership Requirements: You must hold an amateur license, any class, own any kind of RV or have an interest in travel and camping.


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