Application Form

 


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 December 2023. Dues thru December 2024 would be $13.00.

 

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

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

    1.  I wish to be included in the KARC Club Google Group.

    1.  I DO NOT want to be included in the KARC Club Google Group.

 


Last Updated: January 8, 2009