KOOLAU AMATEUR RADIO CLUB
MEMBERSHIP APPLICATION FORM
Name (First, MI, Last): _____________________________________
Call Sign: _____________ License Class: _________ Member ARRL? _________
Current Mailing Address
Street Address: __________________________________________
City: ______________________ State: _______ ZIP: __________________
Phone Contact: (____) _____-_________
E-mail address: _______________________________________________
Annual club dues are $12.00, prorated $1.00 per month from the date of admission
through a calendar year, but for a period of at least six months. That is, when joining after June of
a given year, dues are paid thru December of the following calendar year.
This application was printed in
Applications received by mail are presented for approval at the next club meeting.
Mail application with check payable to KARC to:
Al Kaopuiki, AH6PT
Address
Honolulu, HI 96
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Members are invited to participate in the KARC Club Google group. Club officers and members exchange information
about club activities using this Internet media service. Registered members can easily send an email to all
participating club members by originating a message to the address "koolau-arc@googlegroups.com". Please join us!
TO REGISTER TO THE KARC GOOGLE GROUP, CHECK ONE OF THE BOXES BELOW
 I wish to be included in the KARC Club Google Group.
I DO NOT want to be included in the KARC Club Google Group.
Last Updated: January 8, 2009
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