<~StDPI!

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