Lincoln Repeater Club Membership Form
KØLNE 146.850 (-) NØFER 147.240 (+) WØDMS 444.100 (+) NØFER 145.190 (-)
Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Callsign
*
Are you an ARRL Member?
*
Please Select
Yes
No
What class of license do you hold?
*
Please Select
None
Technician
General
Advanced
Extra
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
My Products
prev
next
( X )
Annual Membership
LRC Membership is $10 per year.
$10.00
$
10.00
How Many Years?
Pay with PayPal
Choose from one of the PayPal options to
make your payment.
Submit
Should be Empty: