PCRC Membership Application
    3. NewRenewal
    5. Call Sign
    7. Last Name
    9. First Name
    11. Address
    12. City
    14. State
    16. Zip
    18. Phone
    20. Email
    22. IndividualFamily
    23. Names, Call Signs and Email of other family members (required for family membership)
    24. Family Member 1 Info
    26. Family Member 2 Info
    28. Family Member 3 Info
    30. Family Member 4 Info
    32. ARRL Member YesNo
    33. Would you be willing to serve on a committee or as a club officer in the future?
    34. YesNo
    35. Are you interested in being involved in the Amateur Radio Emergency Services (ARES)?
    36. YesNo
    37. What are your special interests in Ham radio?
    38. Do you have an area or expertise you would be willing to share with the club?
    39. YesNo

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