Linn County ARES® Registration Form
The Amateur Radio Emergency Service consists of licensed Radio Amateurs who have registered their capabilities with the American Radio Relay League. This form is how you do that, through your local Emergency Coordinator.
Name
Your answer
Callsign
Your answer
License Class
Street Address
Your answer
City/State/Zip
Your answer
E-mail address(es)
Your answer
Home Phone
Your answer
Work Phone
Your answer
Cell Phone
Your answer
Bands and Modes You Can Operate
HF
6 Meters
2 Meters
222 MHz
440 MHz
Others
SSB
CW
FM
DATA
PACKET
Other
Mobile Operation
Go Kit
Can Your Home Station Operate With No Commercial Power?
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