Burnaby Amateur Radio Club Emergency Response Team - Member Sign up 
Membership application for the BARC Emergency Response Team
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Application Date *
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DD
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Your Name (first last) *
Your Call Sign *
Your email address so we can inform you *
Your cell phone number for messaging & call out purposes *
Do you consent to the collection of this information for the purpose of communicating with you on BARC Emergency Response Team training, activites, and call outs? *
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This form was created inside of Burnaby Amatuer Radio Club .