ARES Registration Form
Instructions: Fill in the form as best as you can. All information collected on this form will be used for Indiana Section ARES purposes only.
Name *
Callsign *
Address (Number and Street) *
City *
State *
Zipcode *
County of Residence *
County of Employment
Email Address *
If you use your ARRL reflector e-mail address then you may not get a confirmation e-mail for your submission.
Home Phone (123-456-7890)
Cell Phone (123-456-7890)
Work Phone (123-456-7890)
Please indicate your current license class *
Are you an ARRL member?
ARRL membership is NOT a requirement to register as an ARES volunteer.
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