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AWA Logo50 Years of AWA, 1952-2002The Antique Wireless Association, Inc.
"A non-profit organization devoted to the history of communication"

FROM THE AWA JOURNAL, ON-LINE EDITION
(Please Print or Type) APPLICATION FOR MEMBERSHIP

Date ______________

         Name _________________________________________________________________________________

         Address ______________________________________________________________________________

         City _________________________  State (Country) _____________________  Zip ________________

         Telephone  (______)_______________________  Email  ________________________________________

         How did you learn about the AWA? QST Monitoring Times QCWA
 Nuts&Volts Other:_____________________

         Signature ____________________________________________________________________________

         Credit Card No.* ___________________________________        VISA           MasterCard
         * Credit cards accepted for Membership Dues and Renewals only.
           Please send check or money order for Life Membership payment.

         Card Expiration Date __________________________

         OPTIONAL INFORMATION:     Amateur Radio Call Letters ____________

         Present/Former connection with the Electrical/Electronics Communication Industry:

         ___________________________________________________________________

Collecting & Historical Interests (Check all that apply)
___ Wireless Equipment ___ Amateur Receivers or Transmitters
___ Battery Operated Receivers (1920's) ___ Vacuum Tubes
___ AC Operated Receivers (to 1935) ___ Speakers (Horn or Cone Type)
___ AC Operated Receivers (after 1935) ___ Television (Mechanical or Cathode Ray)
___ Telegraphy ___ Advertising items
___ Transistor Radios ___ Novelty Radios
___ Books and Magazines ___ Other _________________________

Membership Dues
with OTB		 U.S.
(1st Class)		 Foreign
(Air-Mail, Par Avion)
One Year $20.00 $25.00
  Life Membership  $400 in U.S.; $500 elsewhere  

Make check or money order payable to: ANTIQUE WIRELESS ASSOCIATION, INC.
Mail to:  Antique Wireless Association, Inc., P.O. Box 421, Bloomfield, New York 14469
E-Mail: awamembership@rochester.rr.com
Membership in the AWA includes membership in the AWA Electronic Communication Museum.