WTFDA Membership Form

Yearly membership dues in WTFDA are $10 per year.
You must provide an email address for eVUD notification.
Print off and fill out this form and send it with your
payment to: WTFDA, P.O. Box 501, Somersville, CT 06072.

Name________________________________________________

Address_______________________________________________

_______________________________________________

Email Address for notifications______________________________

Have a website? Enter your URL.

Website Address____________________________________

Circle the bands you DX - FM TV Public Service (police, fire, etc.)

DX equipment_______________________________

__________________________________________

Other club memberships_______________________

(You can join through Paypal. Send $10 to sales@wtfda.org to join.)

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