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  OCEANS OF THE WORLD K4OTW

  SUN COAST RADIO K4SCR

         CIRCLE WHICH CHAPTER  APPLYING FOR

                  MEMBERSHIP APPLICATION

                                  FOR EACH STATION

SEND PROOF OF CURENT 1010 MEMBERSHIP WITH

 FEE AND APPLICATION OR IT WILL NOT BE USED 

               YOUR INFORMATION NEXT

CALL______________ NAME______________________

ADDRESS______________________________________

CITY_________________STATE____ PHONE________

ZIP__________________ COUNTRY________________

DATE OF BIRTH_ MONTH_____DAY______

1010 #___________________VP# __________

1010 EXP. DATE___________EMAIL_________________

   !!!   TO QUALIFY FOR MEMBERSHIP YOU NEED   !!!

ONE ONLY FM, OR IQ, OR SQ,    CALL_______________

MEMBER # ____________ CONTACT VALUE__________

 OR YOU CAN USE SIX REGULAR OM(CS), OMDX(CS) 

MEMBERS.(CS IS CLUB STATION)

 LIST OTHER MEMBER AND  DATES ON BOTTOM OF FORM, call name member number and contacts.

A COLOR CERTIFICATE IS ISSUED WITH EACH FULL PAID MEMBERSHIP: FEES ARE $ 5.00 FOR EACH CHAPTER (U.S.A) AND $ 7.00 FOR EACH CHAPTER (DX).

 TO JOIN BOTH IT IS $ 10.00 (U.S.A). AND $ 14.00 (DX).

 FOR A  NO COST, NO CERTIFICATE  MEMBERSHIP (FREE)

 NEEDED IS THIS APPLICATION AND ONE S.A.S.E # 10 LEGAL SIZE ENVELOPE,  OR SEND EMAIL TO   dzak@tampabay.rr.com, or contact me on air at 22:00 UTC on 28.375 during net time.

FOR ANY INFORMATION PLEASE SEND NOTE TO dzak@tampabay.rr.com, or call 1-352-597-5242

        KEEP ALL BELOW  FOR YOUR RECORDS ONLY

 ?? DON'T FORGET TO INCLUDE APPLICATION WITH

MONEY  ORDER (OR CASH IF YOU LIKE ) ??

MONEY ORDER IS PAYABLE TO:  DONALD R. ZAK SR.

IF NOT IT WILL BE RETURNED!!

MAIL TO:  DONALD R. ZAK SR.

6455 EVANSTON STREET

WEEKI WACHEE, FL. 34613 Phone 1-352-597-5242

THANK YOU FOR YOUR INTEREST AND TIME.

HAVING YOU AS A MEMBER WOULD BE A GREAT PLEASURE.

 FROM ALL THE MEMBERS  AND MYSELF.

GOD BLESS AND 73 

 DON K4DRZ

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