New Application____ Renewal ____ Information Changes ____
Name of Member_________________________________Call Sign___________
(Please Print Name above Line)
Name of Spouse______________________Birthday: Month______ Day______
Address____________________________________________________________
City_____________________ Province__________ Post Code____________
Phones: HOME__________________ WORK________________ FAX____________
E-MAIL ADDRESS_____________________________________________________
Members Birthday: Month________ Day________
Year First Licensed _______ Class of
License________________________________
Other Radio Memberships____________________________________________
SCHEDULE OF FEES
FULL MEMBER.................................. $ 15.00 Per Year
FAMILY VOTING MEMBER............. $ 5.00 Per Year
NON VOTING ASSOCIATE.............. $ 15.00 Per Year
NON VOTING FAMILY..................... $ 5.00 Per Year
DONATIONS...For More Fun.............. $ __.__
TOTAL FEES ATTACHED $ ______
MEMBERSHIP FEES RENEWABLE SEPTEMBER 1st of each year.
CHEQUES or MONEY ORDERS PAYABLE TO:
CALGARY COMMUNICATIONS CLUB
C/O 3112-39 St. SE
Calgary, Alta. T2B 1B1
Receipts issued at Sunridge Mall Coffee on Saturday mornings or at
General Meetings to save postage expenses and spend more on "FUN"
events.
__________________________________________________________________
Do Not Mark below this line For OFFICE USE ONLY
CHEQUE_____ MONEY ORDER _____ CASH _____ AMOUNT $_____.____
Receipt Number Issued 20-_____