Membership

Subscription Form

First Name

Last Name

Known As

Address

Address Line 1

Address Line 2

City

State

Post Code

Country

Telephone/Mobile Number

Call Sign

WIA Member?

Membership Class

Disclosure of Personnal Information (opt in)

I consent to the use of this email address to invite me to join the club’s groups.io message service.

I consent to my phone numbers being given to other club members if they want to contact me between meetings.

I consent to my email address being given to other club members if they want to contact me between meetings.

Acknowledgement

I acknowledge that: The above information is used by the club to assist in the smooth running of the North East Radio Club. The club will store my personal information securely and is maintained by the Membership Officer. A regularly updated spreadsheet is provided to the President, Secretary and Treasurer. Note your name, address and callsign is available to the public on the ACMA website and a list of members first names and call signs are published on the NERC club website.

North East Radio Club

Amateur Radio in South Australia - VK5GRC / VK5WOW / VK5RHO

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