PARC Membership form !
HI, thanks for your interest in our club. If you would, please print this form, and fill in your information
THEN 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:
Pocatello Amateur Radio Club
P.O. Box 2722
Pocatello, Idaho 83206
Date: ___________ your Name: ________________________________
Call Letters: __________ License class: __________ Year your were First Licensed _________
Street Address: ________________________City, Zip: ______________________________________________
Your Telephone Number: ______________ Can we list your telephone number on the club web site? (Y/N)______
Your EMAIL address: __________________________
Can we list your EMAIL address
on the club web site? (Y/N)___
please note, on the membership roster page, email address and telephone numbers are somewhat encrypted 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, !!! Saying yes allows other club members to contact you, ..
Note: Dues are $24.00 per year for single members.
Family membership dues are an additional $12 per year for all your family members living in the same household.
JAN $24, FEB $22, MAR $20, APRIL $18, MAY $16, JUNE $14, JULY $12, AUG $10, SEPT $8, ETC..
Please list any LICENSED family members who are joining ? along with their info
Family member 1. Name: _______________________Call Letters: __________ License class: __________
email, and Phone number, if different _____________________________________
Family member 2. Name: _______________________Call Letters: __________ License class: __________
email, and Phone number _____________________________________
We would ask, several more questions of you ?? answers are optional !
1 Do you have a HF Radio
2 Do you have a outside HF antenna
3 Do you have a 2 meter radio
4 Do you have a outside 2 meter antenna
5 Do you have an emergency generator that can run your radios
6 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?
7 are you, or were you, every in the military, if so, please? Branch , years of service, and a brief description of where you were stationed and what you did