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Membership - Apply On Line

Membership - Apply On Line


 

Product Code: MEMBERSHIPONLINE


Type of Application:


Call Sign*:


QCWA # (if known):


Birthday mm/dd/yyyy*:


Select Term:


I wish to be Affiliated with Ch #:


1st Call, Yr Licensed, Other Calls:


Proposed by Name, Call, QCWA #:


Qty:  
Description
 
Regular Membership
1 Year - $25.00
2 Year - $40.00
3 Year - $55.00
Life - $500.00

Family Membership
1 Year - $ 8.00
2 Year - $15.00
3 Year - $20.00
Life - $160.00