YL SYSTEM ANNUAL MEMBER RENEWAL FORM
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 (Listed with ARRL) _______________________________
Mailing Address ______________________________
City ____________________State _______Zip_________
If DX: Province ___________Country _____________
Phone number: _________________ E-mail: ___________________________
Birthdate: ___ / ____ / _____ (year is optional)
Anniv. : ____/____/____ (year optional): OM /XYL's first name: _______________
Are You A Veteran? _____ If YES, Branch of Service: ____________________
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 must use PayPal to send funds to the YLISSB. No Money Orders or Non-Domestic funds.
MAIL TO: Bill Phillips - W7AJP
87298 Chinquapin Loop, Veneta, OR 97487
US Stations may enclose $20.00 US Bank issued check or Use PayPal ($21.00).
Teams are $21.00 for the entire 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 an additional copy of the "VOICE", it is an additional $21.00.
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
The YLISSB ANNUAL MEMBER RENEWAL FORM is very important and is used by the Treasurer to inform other Board and Group Leaders of changes in how we can reach you. PLEASE fill out the form and send it to the TREASURER each time you pay your renewal....and let us know if you MOVE or change telephone, email or change your ham call.
NOTE: We do not issue annual membership cards. However, VA7JSF 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 < .ca > 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 23 Jan 2018