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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