Valley Baptist Medical Center Radio Association

147.200 MHZ (+)                      AG5B                      CTCSS 114.8

MEMBER REGISTRATION

Please enter information in the blocks provided.  After appropriate blocks are complete or checked, click on the "Submit Registration" button at the bottom of the page.

MEMBERSHIP YEAR:

CHECK APPLICABLE BOXES BELOW:

New Renewal Winter Texan Change Data

 I desire automatic yearly renewal and I will notify the VBMCRA by the resubmission of this form if my address or other information changes or I should ever desire to terminate my membership. NOTE: If you have requested an Autodial Slot(s), do not check this box. Autodial users must Renew your registration during January of each year so any unused Autodial Slots may be assigned to others.

CALLSIGN:      LICENSE CLASS: 

NAME:  VALLEY PHONE NUMBER:

VALLEY ADDRESS:CITY:ZIP:

Check the following organizations if you are a current member:

ARRL     Local ARES/RACES

E-Mail Address:

If you are interested in ARES/RACES membership, check here:

Would you be available to help with emergency communications in the event of a major emergency or disaster?   YES    NO

{If you have a DIFFERENT address from the above during a part of the year, please fill in the following:}

ADDRESS:CITY:STATE:ZIP:

  NON-VALLEY HOME PHONE: Area Code: Number:

Winter Texan VALLEY RESIDENT EACH YEAR FROM:(Month)

                                    THROUGH:(Month)

NOTE:  If you are not requesting Autodial Slots, please go to bottom of this page and select, "Submit Completed Registration" button.

AUTODIAL SLOT REQUEST(S)

[Be sure you read the page dealing with AutoPatch usage if you haven't already done so.]

Click here for: AutoDial Information

Presently, there are no limits on the number of Autodial Slots you may be assigned provided they are used on a regular basis. Keep in mind that the VBMC Repeater is located in Harlingen and does not have Valley-wide RF coverage, even though the Autopatch provides direct dialing for all Rio Grande Valley numbers. Be sure you are close enough to the repeater or have enough RF transmitter power to reach the repeater with a "full quieting" signal. Audio quality for a phone patch must be considerably better than for normal contacts since the telephone lines degrade the audio quality to an extent. Read the Information Section on how to determine signal quality.

(1) I request an Autodial Slot be assigned for the Valley telephone number:

This number is to my:(select)

{If this is an update and this number should be deleted, check here:}

(2) I request an Autodial Slot be assigned for the Valley telephone number:

This number is to my:(select)

{If this is an update and this number should be deleted, check here:}

 

(3) I request an Autodial Slot be assigned for the Valley telephone number:

This number is to my:(select)

{If this is an update and this number should be deleted, check here:}

 

(4) I request an Autodial Slot be assigned for the Valley telephone number:

This number is to my:(select)

{If this is an update and this number should be deleted, check here:}

 

(5) I request an Autodial Slot be assigned for the Valley telephone number:

This number is to my:(select)

{If this is an update and this number should be deleted, check here:}

I request registration as a member of the Valley Baptist Medical Center Radio Association (VBMCARA).

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