UCARES New Member Registration

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Form for signing up with Utah County Amateur Radio Emergency Services

Email *

First Name *

Last Name *

Call Sign (ALL CAPS) *

License Class

Mailing Address (Street or PO)

City

State

Zipcode

Cell Phone Number

Home Phone Number

Work Phone Number

Check bands and modes that you can operate

2 Meters

222 MHz

440 MHz

6 Meters

Others

SSB

Data

Packet

Mobile Operation

Can your home station be operated without commercial power?

Yes

Maybe

Clear selection

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Utah County Sheriffs Emergency Communications and Support Team.