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1992 - Palomar Amateur Radio Club

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<strong>Palomar</strong> <strong>Amateur</strong> <strong>Radio</strong> <strong>Club</strong> Enlistment I Re-enlistment Application <br />

DEC'92<br />

AMATEURCAU<br />

ARRlMEMBER<br />

lAST NAME<br />

FIASTNAME<br />

Yes<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 />

STREET ADDRESS RACES<br />

Yes No<br />

CITY &STATE<br />

ARES<br />

RED FlAG<br />

ZIPCDDE BLOOD DONOR BLOOOTVPE<br />

HOME PHONE If<br />

THOS. BROS, MAP LOCATION.<br />

LICENCE EXPIRES<br />

Yes<br />

Yes<br />

WORK OR OTHER PHONE If<br />

INTERESTS<br />

PARC fAMILYMEMBERS<br />

No<br />

No<br />

Mail this form with your check to<br />

PARC, P.O. Box 73, Vista, Ca<br />

92085-0073 or hand to Ral ph,<br />

KC6WAN at club meetings. We<br />

prefer checks to cash, it's safer and<br />

you have a record.<br />

Dues (including Scope) are $12 a<br />

year plus $9 for each additional<br />

family member at the same address.<br />

Consider paying for two or three<br />

years at a time to reduce the work<br />

for the membership chairman.<br />

Call, name and complete address<br />

are required. Telephone number is<br />

requested but may be unlisted in<br />

roster if preferred. Other information<br />

may be omitted if you feel<br />

uncomfortable providing it to the<br />

club.<br />

Comments:---__________ ..-.--..-----~-----<br />

.<br />

·..-···--~----t<br />

J<br />

"LARGEST HAM OUTLETIN THE WORLD"<br />

ALL MAJOR BRANDS IN STOCK NOW!<br />

6 n "'oiff.9.n<br />

O<br />

CLAI IM>NT<br />

~ MESA<br />

~_~ ,<br />

~~ fIu..J(~. '<br />

~~ [;:')t~l,i OUTBACKER. [fjllflil'ftl<br />

!!!!!!!!-= ICOM BenCHeR.inc. Aslron ·l:i:Ex<br />

~.~..? MFJ .........,E.. IIlKantronlcs A..RITR." ~An__<br />

KENWOOD \fw~~(1J) 1Ji\c1 .J$\.. l~1!-<br />

Open: 560-4900<br />

10a.m.• 5:30p.m.<br />

Monday thru Saturday or toll free 1-800-854-6046<br />

5375 KEARNY VILLA ROAD, SAN DIEGO <br />

SCDPE-DEC'92<br />

CLUB MTG WED DEC 2nd. 1930Hr, CARLSBAD SAFETY CENTER<br />

Pg. 3

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