W4VLD New Membership application
Name
First Name
Last Name
Callsign
Cell Phone Number (will not be published, but only available to club members)
Please enter a valid phone number.
Format: (000) 000-0000.
Share Cell Phone Number with club members?
Yes
No
Add Cell Phone to club group text messaging?
Yes
No
Contact Email. (will not be published, but only available to club members
example@example.com
Share Email with club members?
Yes
No
I HAVE READ AND UNDERSTAND THE CLUB CONSITUTION AND THE CODE OF CONDUCT AND AGREE TO ABIDE BY THEM. APPLICANT SIGNATURE:
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Should be Empty: