Peterborough Amateur Radio Club Membership Form
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Personal Details
First Name
* required
Middle Name
Last Name
* required
Callsign
Contact Details
Phone
* required
Cell
* required
License
Address line 1
* required
Address line 2
Postal Code
* required
City
* required
Province
* required
Country
* required
Create Your PARC Account
Email
* required
Password
* required
Re-enter password
* required
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
Add member
Family member details
First name
* required
Middle name
Last name
* required
Callsign
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
Callsign
Current RAC member?
RAC membership ID
Add some members
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