Member Application

Print this page! Then fill out the appropriate information, and mail it to:

W7OCH, GLENN A. ROBERTS
1113 MARIPOSA WAY
BOULDER CITY, NV. 89005-3139

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  Yes, I would like to join Old China Hands.   Enclosed find my check made payble to Glenn A. Roberts (OCH)   for the sum of _______________.   Please issue me a regular member number and send a current member roster.

    Call letters____________________

    Name________________________________________

    CBI outfit_____________________________________

    Address   ______________________________________________

                    ______________________________________________

                    ______________________________________________

                      ______________________________________________
    email address  _______________________________________________

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  Ok to enter my email address on the address roster

 
    Phone number (______) ________ _______________
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  Ok to enter my phone number on the address roster
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  No, please don't list my phone number on the address roster.




Please feel free to contact us.

For additional information, contact us at E-mail address:
admin@oldchinahands.org


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