Declaration of membership

to the USKA section SCBO

With this declaration of accession I acknowledge the statutes of the SCBO.
My first name, my callsigns and my place of residence are published in the callsign list.
Further personal data from me are required for member administration and are not published.
By sending the declaration of membership, I acknowledge the points mentioned above.

Please select the membership type: *

Mitgliedsart

Please choose USKA member yes or no: *

USKA

Please enter your CB callsign with region number and your Afu callsign: *

Dein CB und Afu Rufzeichen

Please enter your name: *

Name

Please enter your first name: *

Vorname

Your address: *

Adresse

Your postal code: *

PLZ

Please indicate your place of residence: *

Wohnort

Please enter your date of birth: *

Geburtstag

CB concession since:

Konzession seit: *

Please enter your phone number: *

Telefon

Please enter your email address: *

E-Mail

Your message:

Nachricht

Please do not fill

Note: Fields with * must be filled out!