Copyright 2010-2011 Pacific DXers. All Rights Reserved.
TO COMPLETE THE
JOINING PROCESS...
You must also
COMPLETE the
"JOIN US!"
payment page!
PACIFIC DXERS

Your CALLSIGN
Former CALLSIGN's
separate each one with a 'comma' and space... such as: VK4EET, VK8XX, C21XX
Name *

Prefix

First

Last

Suffix
The box is small, but expands as required. Prefix means 'Mr', 'Ms', 'Dr'...etc... Suffix means 'II', 'III', 'Sr', 'Jr'...etc... First means given name. Last means Family Name.
"Handle" (Name used "on-air") *
Email *
Postal Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
If you have a QSL Manager, please put their callsign and/or postal address below
Membership types *
Please select one choice
Please contact me about news and events *
 Yes 
 No 
We will add your email address to our news list. It will NOT be shared with anyone for any reason!
Is it OK to add your Call to our list of Members/Supporters? *
 Yes, I agree. 
I will join for :
[please select one]
*
After choosing your joinging option, please go to the "JoinUs!" webpage and complete the form. Thank you.
Please go to this website page and complete the joinging process by selecting a membership option.
The processing is NOT complete until you go to this web page and make a selection.
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