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NOy'91<br />
Palomar Amateur Radio Club Enlistment I Re-enlistment Application<br />
AUATEUR CAll <br />
ARRlMEMeER <br />
lASTHAME<br />
ffRSTNAME<br />
STREET ADDRESS<br />
CrTV & STATE<br />
ZIPCOOE<br />
HOME PHONE #<br />
Yes<br />
THOS. BROS. MAP LOCATION.<br />
LICENCE EXPIRES<br />
No<br />
CLASS OF LICENCE<br />
N T T+ G A E<br />
DATE FIRST LICENCED<br />
OLD CALLS<br />
DATE OF BIRTH<br />
RACES<br />
Yes No<br />
ARES<br />
REO FlAG<br />
BlOOD DONOR ?<br />
Yes<br />
Yes<br />
WOfI( OR IDHER PHONt: #<br />
INTERESTS<br />
PARe FAUlL V MEMBERS<br />
No<br />
No<br />
BOOOTYPE<br />
Mail this form with your check to PARC,<br />
P.O. Box 1003, Vista, Ca 92ffi5-1603 or<br />
hand to Jo, KB6NMK at club meetings.<br />
Prefer checks to cash, it's safer and you<br />
have a record.<br />
Dues (including Scope) are $12 a year<br />
plus $9 for each additional fami1y member<br />
at the same address.<br />
Dues are prorated for NEW members:<br />
Aug, Sept, Oct, $12; Nov $9, Dec $8, Jan<br />
$7, Feb $6, Mar $5, April $4, May $3,<br />
June $2, July $1. Family members 75%<br />
offull price. Consider paying for two or<br />
three years at a time to reduce the work<br />
for the membership chairman.<br />
Call. name and complete address are<br />
required. Telephone nmnber is requested<br />
but may be unlisted in roster if preferred.<br />
Other information may be omitted if you<br />
feel uncomfortable providing it to the<br />
club.<br />
,-,-,-,-,-,-,-,-,-,-,-,-,-,-,-,-,-,-,-,-,-,<br />
, SCOPE.USPS 076530. published monthly by ,<br />
, the PALOMAR AMATEUR RADIO CLUB. INC'<br />
, Post Office Box. 1603. Vista, CA 92085- ,<br />
, 1603. Dues $12 per year. WOW J! ,<br />
, - - - - - - - - - - - - --- - --- -,<br />
, POSTMASTER: Send changes to -> SCOPE. ,<br />
, P. O. Box 1603, Vista. CA. 92085-1603 ,<br />
,-,-,-,-,-,-,-,-,-,-,-,-,-,-,-,-,-,-,-,-,-,<br />
#1 <br />
-.;....--<br />
• • • • * * •<br />
* 2nd Class * <br />
* Postage * <br />
* paid at * <br />
* V 1ST A * <br />
* CA. 92085 *<br />
* * * * * * *<br />
Membership License<br />
(VIS)ta-(HIR)a Mesa-(LA M)esa-(FAL)lbrook Expires Expiration<br />
xXxx-YIS---MIR---LAM----FAL----PRCyymm-----LXyyrr-xxxxxx<br />
Phone codes--><br />
X<br />
X<br />
X<br />
TO: X<br />
X<br />
XxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxX<br />
UR LAST ISSUE IF (PRC9110)<br />
X<br />
X<br />
X<br />
X<br />
SCOPE - NOY'91<br />
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