Copyright 2010-2011 Pacific DXers. All Rights Reserved.
TO COMPLETE THE
JOINING PROCESS...
You must also
COMPLETE the
"JOIN US!"
payment page!
PACIFIC DXERS
If you like what we are doing or are planning, then you are most welcome to become a member.
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
Antigua and Barbuda
Aruba,Bahamas
Barbados
Belize
Canada
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country
If you have a QSL Manager, please put their callsign and/or postal address below
Membership types
*
Select Type
Member - I have or had a Pacific callsign
Supporter - I have not held a Pacific callsign
Commercial - I want to support and put ad on Page(s)
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]
*
1-year SUPPORTER US$20
5-year SUPPORTER US$75
LIFE SUPPORTER US$150
1-year MEMBER US$20
5-year MEMBER US$75
LIFE MEMBER US$150
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.
Image Verification
Please enter the text from the image
:
[
Refresh Image
] [
What's This?
]