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Membership form !   

HI, thanks for your interest in our club. If you would, please print your information on this form
and bring it to a meeting, or send it in by mail.
We hope to see you at the meetings soon!

The PARC mailing address is:

PARC

P.O. Box 2722

Pocatello, Idaho 83201

Date:  ___________________________

Name:  ________________________________

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

Street Address:  ____________________________________________

City, St, Zip:  ______________________________________________

Telephone Number:  ______________  Can we list  your telephone number on the club web site?  (Y/N)______

EMAIL address:  __________________________  Can we list your EMAIL address on the club web site? (Y/N)___

please note,  the email address and  the telephone numbers are somewhat encrypted on the membership roster to avoid being targeted by
computer systems attempting to scavenge that type of information from the web..  Take a look at the Roster Page you will see the encryption..
easily understood by humans, but gibberish   to computers, !!!    Say yes so other club members can contact you, ..

Secretary/Treasurerís 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
.

All members dues are due the first of January.  Dues are prorated for new members (see below)

JAN $24, FEB $22, MAR $20, APRIL $18,  MAY $16, JUNE $14, JULY $12, AUG $10, SEPT $8, ETC..

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


 

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?