State of Louisiana - Tangipahoa Parish ARES

Tangipahoa Parish ARES

EC - Forrest Clark - kd5pks@charter.net

Information Request/Signup/Renewal Form

Please fill out the form to request information about or to sign up/renew with Tangipahoa Parish ARES
* = required information

Date Filed:
Type of request: Information request
New member
Update my information
* Call Sign:
* Name:
FirstLast
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Home Phone:
Cell Phone:
E-Mail:
Verify E-Mail:
Equipment:
Check all that apply		 VHF HT (~5 watts)
VHF Mobile (~50 watts)
VHF Base (~50 watts)
VHF Packet (~50 watts)
HF Mobile (~50 watts)
HF Base (~100 watts)
HF Packet (~100 watts)
Comments:


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Questions or comments about this page should be directed to kd5pks@charter.net

This page was last updated on Wednesday, 06-Feb-2008 14:03:22 CST