Application for membership

First Name*:

Middle name:

Last Name*:

Your current Callsign*:

Radio licence ID*:

Your Email*:

Document scan 1*:

Document scan 2: (optional)

Document scan 3: (optional)

Desired Liberland Callsign: (e.g. 1L0ABC) (optional)
You can include more callsigns, which should be separated by comma ,

Remarks