New Membership application form

 

NAME : ( Type in )

CALL SIGN : (Type in)

OTHER CALL SIGN (If any) : ( Type in )

NATIONALITY : ( Type in )

AMATEUR RADIO LICENSE NO.: ( Type in )

AMATEUR LICENSE QUALIFICATION.: *Basic, Advanced,CW-5, Cw-12.(Type in )

DRIVER LICENSE NO.: (Type in  )

HOME PHONE NO. :(604)(Type in )

BUSINESS PHONE NO. :(604)(Type in )

CELL NO. :(604)( Type in  )

FAX NO. :(604)(Type in  )

E-mail Address :( Type in  )


POSTAL ADDRESS :(Type in  )


After fill in all information  

Press 「CONFIRM 」IT WILL AUTOMATICALLY SEND OUT

  

PRESS HERE GO TO JOIN US PAGE