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
Your answer
Callsign
Your answer
Address (Number and Street)
Your answer
City
Your answer
State
Your answer
Zipcode
Your answer
County of Residence
Your answer
County of Employment
Your answer
Email Address
If you use your ARRL reflector e-mail address then you may not get a confirmation e-mail for your submission.
Your answer
Home Phone (123-456-7890)
Your answer
Cell Phone (123-456-7890)
Your answer
Work Phone (123-456-7890)
Your answer
Please indicate your current license class
Are you an ARRL member?
ARRL membership is NOT a requirement to register as an ARES volunteer.
Comments
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