YLRL Application
The YLRL Membership Application is available below. A PDF version will be coming soon. NOTE: As of 2006, there are now only two Receiving Treasurers, one handles US, KLH, KL7 and VE membership and the other handles DX membership. Please print out the appropriate form, include the appropriate fee and send it to Receiving Treasurer for US, KH6, KL7 and VE to Carol Laferty, K4SAF and for DX or your DX adoptees to Rose-Marie Battig, KB4RM.
Now, what would you like to do?
Check one: Renewal _______ New Member _________
Name*________________________________ Call*_________________
Address*___________________________________________________
City*________________________________State*______ Zip*_________
Phone*______________ Unlisted (Y/N)___ Birthday______ (month/day only)
Packet Address_____________________________________________
Email Address*_______________________________________________
License Class_________________ Year First License ________________
ARRL Member?___Y____N _______Year Joined YLRL ______________
What ham activities do you enjoy and/or participate in? Include nets,
modes, contests,
clubs or ?
____________________________________________________________
_____________________________________________________________
Other hams in the family? __________________________________________
* These items must be completed to ensure we have your current info.
Dues for Canadian YLs as well as Alaska and Hawaii go to the
US, KH6, KL7, VE Receiving Treasurer: Carol Laferty, K4SAF and
NOT the DX YL Receiving Treasurer.
Check one: Paying your own dues _______ Renewal
_______ New Member _________
DX YL's Name*________________________________ Call*_________________
DX YL's Address*___________________________________________________
Province/District*________________________________Country*_______________
Phone*______________ Unlisted (Y/N)___ Birthday______ (month/day only)
Packet Address_____________________________________________
Email Address*_______________________________________________
What ham activities do you enjoy and/or participate in? Include nets,
modes, contests,
clubs or ?
____________________________________________________________
_____________________________________________________________
Other hams in the family? __________________________________________
Sponsor's Name*______________________ Call *________________
Sponsor's Address___________________________________________________
City________________________________State______ Zip_________
Check one: ______$23 for Air Mail _____$2 for family member
IMPORTANT: Dues for the DX YLs go to the DX Receiving Chairman:
Rose-Marie Battig, KB4RM, PO Box 8185, Charlottesville, VA 22906
E-mail: [email protected]
* These items must be completed to ensure we have your current info.
$15 | Regular Member, bulk mail - (USA only) |
$15 +$4 | 1st class mail in US - (Required in Canada and Mexico) |
$2 | Family members residing at same address (no YLH) |
$15 | Subscriber |
$15+$4 | Subscriber, 1st class mail |
$15+$8 | DX dues, Air Mail (required for DX YL) |