Basic Course 21 Registration Form...

Please fill out and submit this form as completely as possible

Given Name
Surname
Date of birth yyyy-mm-dd
E-Mail Address
Language of Preference English
Address
City/Province
Postal Code
Phone #1
Phone #2

Do you wish to be added to our mailing list?

Yes

 

You will receive an e-mail confirming we have received your information with a link to pay for your registration through PayPal. (If you don't receive the e-mail please check your Junk Mail folder)

 


 
Winnnipeg Amateur Radio Club