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:
P.O. Box 2722
Pocatello, Idaho 83201
Call Letters: __________ License class: __________ Year 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)___
Date and amount Paid: ___________/__________
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?