MEMBERSHIP APPLICATION FOR THE ROMEO GOLF DX CLUB
Name________________________
Mailing address______________________________________
City _______________________________
State______________________________
Country___________________________
E-mail address____________________
Standby freq.______________________
Radio handle ( IF ANY) _________________
Pre-existing call sign(s)___________
A prefered number you would like to use for the ROMEO GOLF DX CLUB ( if avaliable , if not the club will issue a number for you)_________
ARE YOU INTERESTED IN BEING A LOCAL DIRECTOR IN YOUR AREA? _______
Do you have an ICQ # _________________________ This will be listed on our homepage for other ROMEO GOLF DX CLUB MEMBERS TO SEE. (OPINTIONAL)__________
Please put me on you mailing list._______
COPY THIS PAGE , TO WORD PAD OR WORD APPLICATION. FILL OUT AND EMAIL TO marcio@vcn.com THANKS .
