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application.html
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---
layout: page
title: Membership & Mailing List Application
---
<form id="appform" enctype="text/plain" method="post"
action="mailto:argilo@gmail.com,godtec@gmail.com,ldobranski@gmail.com,dglennmacd@gmail.com,ve2zaz@sympatico.ca,ve3czo@gmail.com?subject=WCARC%20membership">
<input type="checkbox" name="MemApp" id="MemApp"> Membership Application<br>
<input type="checkbox" name="MemUpdate" id="MemUpdate"> Membership Update<br>
<input type="checkbox" name="ListApp" id="ListApp"> Mailing List Application<br>
<input type="checkbox" name="ListUpdate" id="ListUpdate"> Mailing List Update<br>
<br>
<span class="red">First Name</span> <input type="text" size="30" name="FirstName" id="FirstName"><br>
<span class="red">Last Name</span><sup>1</sup> <input type="text" size="30" name="LastName" id="LastName"><br>
<span class="red">Call Sign</span><sup>1 3 4</sup> <input type="text" size="6" name="CallSign" id="CallSign"><br>
<br>
Grid Square (e.g. FN25hm or FN25) <input type="text" size="6" name="GRIDSQUARE" id="GRIDSQUARE"><br>
<br>
<input type="checkbox" name="RAC" id="RAC"> RAC Member<sup>1 2</sup><br>
<input type="checkbox" name="WCARC" id="WCARC"> WCARC Member<br>
WCARC Membership Date <input type="text" size="10" name="MEMBERDATE" id="MEMBERDATE"> (YYYY/MM/DD)<br>
<br>
<span class="red">Street</span><sup> 1 </sup> <input type="text" size="35" name="Street" id="Street"><br>
<span class="red">City</span><sup> 1 </sup> <input type="text" size="35" name="City" id="City"><br>
<span class="red">Province</span><sup> 1 </sup> <input type="text" size="35" name="Province" id="Province"><br>
<span class="red">Postal Code</span><sup> 1 </sup> <input type="text" size="16" name="Postcode" id="Postcode"><br>
<span class="red">Telephone</span> <input type="text" size="16" name="Telephone" id="Telephone"><br>
<span class="red">Cellphone</span> <input type="text" size="16" name="Cellphone" id="Cellphone"><br>
<span class="red">Email</span> <input type="text" size="36" name="Email" id="Email"><br>
<br>
<input type="submit" value="Submit Application"><br>
<br>
</form>
<p>Items in <span class="red">red</span> are mandatory.<br>
<sup>1</sup> These items must match the RAC call sign database entry information.<br>
<sup>2</sup> WCARC Members who are not RAC members will be levied an additional fee.<br>
<sup>3</sup> If you do not have a call sign, enter NoCall.<br>
<sup>4</sup> If you have multiple call signs, enter one preferred call.</p>
<script src="assets/application.js" type="text/javascript"></script>