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YL SYSTEM MEMBERSHIP RENEWAL
Print the form and email it to email@example.com if paying by PayPal
Complete this form and mail to: (or e-mail it to: firstname.lastname@example.org )
Bill Phillips, W7AJP, 87298 Chinquapin Loop, Veneta, OR 97487-9511
Your call_________________ YLISSB System # __________
Team member's call ______________ YLISSB System # __________
Former call, if recently changed_______________
Your Name _______________________________________
Current Address ______________________________
City ____________________State _______Zip_________
If DX: Province ___________Country _____________
Current E-mail Address ________________________________
Phone number: _______________ Birthdate: ___ / ____ / _____ (year optional)
Anniversary: ____/____/____ (year optional): OM or XYL's first name: ______________
Are You A Veteran? _____ If YES, Branch of Service: ____________________
Do you want the Annual “VOICE”: _____ Printed and mailed to you
_____ On a CD mailed to you
_____ Emailed to you as a PDF file
Signed: _____________________________________ Date: __ / __ / ___
MAKE CHECKS PAYABLE TO: “YLISSB”
All DX (stations outside the US) sending funds to the YL System are to use PayPal to send funds to the YLISSB.
US Stations may enclose $20.00 US bank issued check or Use PayPal ($21.00).
Teams are $20.00 for all on the team (not per person) when the "VOICE" goes to only 1 (one) address. If any team members are at a different address and wish to have a copy of the "VOICE", it is an additional $20.00.
If you decide to use PayPal, please also send an e-mail copy of the first page of this Membership Renewal to email@example.com
NOTE: We do not issue annual membership cards. However, VE1JIM is now providing a beautiful Membership Certificate to new members. If you want one e-mailed to you (YOU PRINT IT yourself), please send an e-mail to Jim Flowers < firstname.lastname@example.org > and include your (1) Name, (2) Call, (3) System #, and (4) the Date you joined (we can look that up). Your canceled check or money order is your receipt. Normally, the treasurer sends a confirmation e-mail if you have your e-mail address on file with the treasurer.
REVISED: 22 Dec 2014