If you would like to become a member of our group, please take a moment to complete the short Membership Request below.

Items with a red asterisk * are required.

First Name*:	Last Name*:	Call*:	Telephone:
Email Address:	City:	State:	ZIP Code:
Operating Interests (Check all that apply):   CW    RTTY    Slow Scan    Digital    Phone
Are you interested in helping with:    Net Control    VE Testing    Emergency Services/Preparedness
Comments:	Submit

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Alternatively, you may print a copy of the member application below and mail it to the club or submit it in person at the next club meeting.

PCARC Member Application