Membership Application Form

Papakura Radio Club inc.
Please complete all boxes
                            Name 
                      Callsign 
                      Address 
                        Suburb 
                               City 
         E-Mail Address 
                      Phone (H) 
                      Phone (W)  / Ext. 
                      Fax 
                      Mobile 
 
Joining through TradeMe Auction
 
  
The above details are emailed to prc@ihug.co.nz
(Papakura Radio Club inc.)

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