FSD-98 ARES Registration Form
For new and renewing ARES members.
1. First Name: *
Your answer
2. Middle Initial: *
Your answer
3. Last Name: *
Your answer
4. Amateur Call Sign: *
Your answer
5. Mailing Address: *
Your answer
6. City: *
Your answer
7. What Region of Tennessee do you live in: *
Please refer to http://www.tnares.com/index.php/about-tnares if you have any doubt.
8. What Tennessee District do you live in: *
Please refer to http://www.tnares.com/index.php/about-tnares if you have any doubt.
9. County: *
What is your County of Residence?
10. State: *
11. Zip Code: *
Your answer
12. Home Phone Number: *
If no number enter "none"
Your answer
13. Work Phone Number: *
If no number enter "none"
Your answer
14. Cell Phone Number: *
If no number enter "none"
Your answer
15. Email Address: *
Your answer
16. License Class: *
Required
17. Auxiliary Power: *
Can your home station be operated without commercial power?
18. Operational Bands: *
What frequency bands is your station capable of operating on? Select all that apply.
Required
19. Operational Modes: *
What modes is your station capable of operating on? Select all that apply.
Required
20. Training: *
What types of emergency training have you completed? Select all that apply and provide certification of listed training.
Required
21. I attest the information provided is complete and true to the best of my knowledge. *
Submit
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