Peterborough Amateur Radio Club Inc. Membership Form
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Personal Details
First Name
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Middle Name
Last Name
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Callsign
Contact Details
Phone
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Cell
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License
Address line 1
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Address line 2
Postal Code
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City
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Province
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Country
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Credentials
Email
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Password
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Re-enter password
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Do we have permission to share your email with other club members?
Yes
No
Membership
Are you a current Radio Amateurs of Canada member?
Yes
No
RAC membership ID
* required
Membership type
Single Membership
Family Membership
Family members
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Family member details
First name
* required
Middle name
Last name
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Pronoun
Phone
* required
Are you a current Radio Amateurs of Canada member?
Yes
No
RAC membership ID
* required
Add member
First Name
Middle name
Last name
Phone
Pronoun
Current member?
RAC membership ID
Add some members
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