MEMBERSHIP APPLICATION FOR THE P.C.A.R.C.
Name __________________________________ Call Sign __________________
Address _______________________________ Telephone __________________
City __________________________________ State _______ Zip _____________
Email Address: _____________________________________________________
The following dues apply: (Please check all that apply.)----------------
_____ $20.00 Single Membership -----_____ $10.00 Student or Senior Citizen
_____ $30.00 Family Membership -----_____ $5.00 Auto dial number--------
What office would you be willing to hold, if called upon to do so?--------
__________________________________________________________________
If family membership, please include the names (and calls) of your family.----
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Please make checks payable to PCARC. Send to PCARC at PO Box 1782,
Valparaiso, IN. 46384
Regular membership: $20.00 Includes full use of all repeaters and autopatch.
Family membership: $30.00 A family is defined as a man and woman and any minor children they may have still living with them.
Junior membership: $10.00 A junior is defined as age 18 and under or if a full time student, 21 and under.
Senior membership: $10.00 A senior is defined as age 65 and over, or if retired, 55 and over.
Autodial number: $5.00 This is used to help raise money for repeater upkeep. For the extra money, a member can have a speed dial number on the repeater.
This will allow you to speed dial your number with only a two digit number. You can have two numbers for your money.