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O.S.B., c/o Adrianne Frencl
8716 Chipita Park Rd.
Cascade, CO 80809
U.S.A.
APPLICATION FOR FREE LIFE MEMBERSHIP
Thank you for your interest in the Oscar Sierra Bravo International DX Group. Please accept our invitation for your FREE Life Membership that includes your O.S.B. Call Sign. If you request the Membership Package, you will be welcomed to our group with a Letter of Thanks, O.S.B. Call Sign, Certificate of Membership, 2 Blank Applications, 10 QSL Cards, the latest issue of our newsletter, "The SideBander", if available, and other useful DX information.
You can print this page and mail in your application to the address above or copy and paste it with the information needed in an e-mail to OSBDX2@yahoo.com or to YoAdrianne66@aol.com.
DATE:
NAME:
ADDRESS:
CITY:
STATE:
ZIP/CP:
DATE OF BIRTH:
TX/RX:
DO YOU REQUEST A SPECIFIC CALL SIGN, IF AVAILABLE?
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Life Membership....................FREE
Membership Package.............$5.00
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50 QSL Cards........................$5.00
Please check card style if ordering:
EAGLE[ ] TRUCK[ ]
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2007 OSB Directory................$3.00
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POSTAGE............................$2.00 U.S.A.
POSTAGE............................$3.00 All Others
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Total amount due:
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