Buckeye Belles Application for Membership


Renewal _______ New Member _________ Year:20_____

Name________________________________ Call______________ Belle # ______ (if applicable)

Address___________________________________________________

City________________________________ State______ Zip_________

Phone______________ Unlisted (Y/N)___ Birthday______ (month/day only)

Email address: ________________________       web page: _____________________________

packet address:________________________

License class ____________       Occupation_____________________________

Married Y__ N___       Is Ohio YL, is OM a Beau? Y__ N__

If Y, OM's name/call _____________      OM's DOB ______

YLRL Member Y__ N__       ARRL Member Y__ N__

Other amateur radio clubs you belong to: ____________________________________________

Other Hams in Family____________________________________________

Other Activities and Hobbies____________________________________

In what way would you be interested in helping the Buckeye Belles
(please circle all areas you are interested in):


(downloaded from the Buckeye Belles HomePage)

Dues are due by May 31st for the Belles. Use the application form above to mail in your dues with the appropriate amount to:

Byrness Haworth W8LE
134 Carriage Court
Elyria, OH 44035-8796
beew8le@aol.com

Dues for the Buckeye Belles

Ohio Belles* Regular Member $10
Out of State YLs* Associate Member $8
Members residing at same address Family Member $2
DX YLs DX Member $11
OM of OHIO YL member only! Buckeye Beau onetime fee of $1
Subscriber Subscriber Member $8

* Note: If you are renewing as a Belles or Associate Belle and you are over 85 years old, then you automatically become a lifetime member of the Belles.

Return to Buckeye Belles homepage

Last Updated: November 16, 2009 by kc4iyd@yahoo.com