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: ______________ 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, ..
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?