Membership form !                                                                                                                                                                                                                    

HI, thanks for your interest in our club. If you would, please print your information on this form
and turn it into the club’s Secretary/Treasurer, either at a club meeting or send it in by mail, we
would appreciate it.  We hope to see you at our meetings, everyone is welcome both members and non-members.

The PARC mailing address is:

PARC

P.O. Box 2722

Pocatello, Idaho 83201

Date:  ___________________________

Name:  ________________________________

Call Letters:  __________  License class:  __________  Date First Licensed   _________

Street Address:  ____________________________________________

City, St, Zip:  ______________________________________________

Telephone Number:  ______________  Do you want your telephone No. listed on the club web site?  (Y/N)______

EMAIL address:  __________________________  Do you want your EMAIL address listed on the club web site? (Y/N)___

Secretary/Treasurer’s information

Date and amount Paid:   ___________/__________

                                                        Amount                   Date

Note:   Dues are $24.00 per year for single members.  Family membership dues is an additional
$12.00 per year for all family members living in the same household.

 

Please list any family members who would also like to join the club, their call signs and license class here:  ________________________________________________________

Please list any special interests (see table below).  We are always looking for interesting programs for our meetings.  
Could you provide a program, or do you know of any interesting programs, or any ideas, for our meetings?  ______________________

Would you like HELP, upgrading your ham license:  _________.

Are you a member of any of these organizations, or hold any of these certificates,
or have interest in these things ? Circle the ones your are interested in.

 

ARRL

QCWA

Other radio clubs

CW

Contesting

MARS

FISTS

10-10

WAS

 Emergency Work

RCC

ARES

RACES

DXCC

 Digital Modes

DX

VHF Weak Signal

HF Slow Scan TV

VUCC

 Fast Scan TV




 

  The topics listed in this red box are non-related to our membership form,
but they are Important bits of information that could save your Life.
Something to think about. Take a minute, NOW, and check out these links.
                                       Without You, your radio is useless
1. FIRE in you home.    Every Second Counts. 
Grab your loved ones and GET out of the house.  As fast as you can.
Check out this one page information sheet about FIRE.  Read it, and Believe it.
Make sure you have operational Fire Detectors, one in each bedroom, these things can save you!!
If you have questions ,  K9GP and N7RYN are firemen, and they can answer your questions.
2. How ready are you for a real emergency,  one where the power is out for several days? or weeks ?
things to think about from the RED CROSS,  click on "Be Red Cross Ready"  on the right side of the screen.