Form 838 - Amateur Radio Statement

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MISSOURI DEPARTMENT OF REVENUE
FORM
MOTOR VEHICLE BUREAU
838
AMATEUR RADIO STATEMENT
(REV. 06-2012)
I, _______________________________,
hold an unrevoked and unexpired amateur
radio license with the official radio call letters
of ________________________________
issued by the Federal Communications
Commission.
SIGNATURE OF APPLICANT
Questions should be referred to (573) 526-3669 or visit
for more information.
DOR-838 (06-2012)

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