NATIONAL RADIO CLUB MEMBERSHIP APPLICATION

Please Print....
First Name: Last Name:
Address:
Address:
City: State: Postal:
County (if not U.S.):
Email: Phone:
How did you find us:

Phone number & Email is Not required. We like to have a way to contact you if there is a problem with the mail. We do not give out addresses or phone numbers to anyone. ALL INFORMATION IS CONFIDENTIAL!!!

Check one....

[ ] DX News Magazine in print. [ ] DX Audio Service on cassette. [ ] E-DXN On line .

Send with payment (see rates below) to:

National Radio Club, Inc.
P.O. 473251
Aurora, CO 80047-3251 USA

Tear apart at line. Mail top portion with payment.

Keep this piece for your records.

RATES

DX NEWS MAGAZINE

  • To United States Address $ 28.00 per year.
  • To Canadian Address $ 38.00 per year.
  • To All Other Countries $ 52.00 per year.

DX AUDIO SERVICE

  • To United States & Canada $ 28.00 per year
  • To Europe & Elsewhere Address $ 40.00 per year

E-DXN On Line Membership

  • E-DXN Only $ 15.00 per year
  • Add-on to my DXAS or DXN Subsciption $ 5.00 per year
Check #: Date Mailed: Subscription Requested:

Make the check payable to NATIONAL RADIO CLUB, INC.