Join ARES/RACES

• Please provide the following contact information:

  Name
  Title
  Organization
  Street Address
  Address (cont.)
  City
  State/Province
  Zip/Postal Code
  Country
  Work Phone
  Home Phone
  FAX
  E-mail
  URL

• Enter todays date :

  -- mm/dd/yy
  

• Enter your callsign:

• License Class

            Novice    Technician    General    Advanced    Extra

• I have the capability of working the following (check all that apply)

  HF SSB CW Packet RTTY 10meter FM Emergency Power Mobile Rig What Bands? 160  80/75 20    15 17    10

  VHF-2 Meters FM Packet SSB Emergency Power Mobile Rig HT

  UHF- 440MHz FM Packet Emergency Power Mobile Rig HT

• What other bands, frequencies, etc. are you capable of operating?

• Are you a member of the ARRL?  Yes   No
• Member of what other HAM related organizations, clubs, etc.: