MEMBERSHIP APPLICATION FORM

KARC 2008 REPEATER COORDINATION FORM

Trustee Name:

Trustee Call:

E-Mail Address:

Club Home Page Address:

http://www.

Address:

City:

State:

Zip:

Day Phone:

Evening Phone:

Application For:

I wish to be a member of KARC

Club or Repeater Sponsor (7 characters only):

Repeater Call:
Publish Info?

Tx Output Freq.:

Rx Input Freq.:

PL: Publish PL?
PL Usage: Rx Only Tx Only Both Time Based

Open Repeater?

Autopatch?

Emg Power?

Linked?

RACES?

Internet:#

Tx Location City:

Rx Location C ity:

Directory Location: Repeater Covers KC?

Antenna Height:

ERP in Watts:

Xmtr Lattitude:HHMMSS
Xmtr Longitude:HHMMSS

Receiver Lattitude:HHMMSS
Receiver Longitude:HHMMSS

Additional Info or Requests: