Online 3900 Application
If a field is required and you don't feel you want to respond to it put N/A or if a date put Jan 1 of this year in there to get by that field.
* Required
Name
*
Your answer
Callsign
*
Your answer
Class
*
Your answer
Expiration date
*
MM
/
DD
/
YYYY
Email
*
Your answer
Address
*
Your answer
City, State, Zip
*
Your answer
Phone
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Years Licensed
Your answer
Other calls held
Your answer
ARRL - Yes/No/Life
*
Your answer
XYL's Name
Your answer
Other family licensees
Your answer
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