Radio Amateurs of/du Canada
Order Form for Official RAC
to your Section Manager
Please print legibly exactly as it should appear on the badge
Address to which you want the badge sent
number: (Day) ___________________________ (Evening)
In case we have a problem filling your order
(check ONE only)
Services ( ) Section Manager ( ) Assistant
Section Manager ( ) Section Emergency Coordinator ( )
District Emergency Coordinator ( ) Emergency Coordinator ( ) Official
Emergency Station ( ) Section Traffic Manager ( )
NTS Net Manager ( ) Official Relay Station ( )
Bulletin Manager ( ) Official Bulletin
Station ( )
Official badge not available for Assistant Emergency Coordinator or other
positions not shown.
Note 2: Use
this form only to order Official Silver RAC Field Organization badges. Do
not order Official Brass Director/Executive/Committee badges on this form.
Note 3: This
is a special order item and cannot be returned or refunded. Ensure the
information provided above is clearly printed and correct.
I attest that I
will only wear this badge while I hold the above appointment and remain a
member of RAC.
Enclosed - $15.00 including taxes, payable to RAC. Please send form with
payment to your Section Manager (SM).
For Section Manager Use ONLY
I have checked
the information provided above and all is in order; the applicant is a current
RAC Section appointee and RAC member. I hereby authorize purchase of an
official RAC call-sign badge as specified.
____________ SM Signature & Call Sign ____________________________________
______________________ Comments: ____________________________________________
Section Manager – Please route this order form through the VPFS