State of Louisiana
Tangipahoa ARES

ARRL ARES

Information Request/Sign up/Renewal Form

An * indicates required information.

Date Filed:
Type of request: Information request
New member
Update my information
* Call Sign:
* License Class: Technician
General
Extra
* Name:
FirstLast
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Home Phone:
Cell Phone:
Send ARES text messages
to your cell?		 NOTE: Your cell providers rates will apply. Enter provider (AT&T,
Verizon,etc.) in Comments section below.
Yes
No
E-Mail:
Verify E-Mail:
Equipment:
Check all that apply		 VHF HT
VHF Mobile
VHF Base
VHF Packet
UHF HT
UHF Mobile
UHF Base
UHF Packet
HF Mobile
HF Base
Morse Code/CW: RX WPM: 
TX WPM: 
Comments:

or

Click "Submit" to send this form to :

Tangipahoa EC - Pat Mason KE5KMM


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This page was last updated on Saturday, 15-February-2018 19:59:00 CST