MEMBERSHIP APPLICATION
Name __________________________________ Call Sign __________________
Address _______________________________ Telephone __________________
City __________________________________ State _______ Zip _____________
Email Address: ______________________________________________________
(Please circle one:) I do / do not want to join the club email mailing list.
The following dues apply: (check one)
_____ $12.00 Single Membership
_____ $6.00 Student or Senior Citizen
_____ $18.00 Family Membership
What office would you be willing to hold, if called upon to
do so?
__________________________________________________________________
If family membership, include the names (and calls) of your family.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Please make checks payable to PCARC.
Send to PCARC at PO Box 1061, Valparaiso, IN 46384
Regular membership: $12.00 Includes full use of all
repeaters.
Family membership: $18.00 A family is defined as a man and
woman and any minor children they may have still living with them.
Junior membership: $6.00 A junior is defined as age 18 and
under or if a full time student, 21 and under.
Senior membership: $6.00 A senior is defined as age 65 and
over, or if retired, 55 and over.