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VK QRP CLUB
CW OPERATORS’ QRP CLUB INC
.

Below is a copy of an Application for Membership, please feel to print this form in pdf format.

VK QRP CLUB
CW OPERATORS’ QRP CLUB INC
.

Application for Membership

Ordinary Membership of the CW Operators’ QRP Club Inc.
Please print

First Name: ……………………………………………………

Surname: ……………………………………………………

Callsign: ………………………………. (swl’s are welcome)

Address: …………………………………………………….

…………………………………………………….

…………………………………………………….

Email Address: …………………………………………….

Please enclose the annual membership fee: VK AU$15.00, Asia-Pacific AU$16.00, Rest-of-the-World (inc. USA & Europe ) DX AU$18.00.

I agree to my details being held on the Club’s data base and my name, callsign, city, and country, being published.

I do / do not want CW Ops emails.

Signature: ………………………………………………………

Sponsor (If any): ……………………………………………... (insert member’s name & callsign.)

You will receive a new member’s pack and membership number. Subs are due on 1st Jan each year. We will adjust the amount on your account in September. A receipt will be given only if you ask when making a payment. Please mail this application to:

Kevin Zietz VK5AKZ, Treasurer CW Ops QRP Club, P.O. Box 1018, Pasadena, SA 5042, Australia

 

 

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Updated Monday, 29th April,, 2012
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