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Contact Us
Join us! For more information, contact us via email at [].
To apply, fill out this electronic registration form on this page and submit it when you have completed it.

ARES Registration Form
Your Name:      ,                        Your Call: 
Your Address: 
Work Phone:                  Home Phone:   
Your E-Mail:   
License Class:   
Your Primary Radio Interest:
Check the bands / modes you are able to operate:
160 M 80 M 40 M 20 M 15 M 10 M 6 M 2 M 220 MHZ 440 MHZ Other
 If operating packet, the call sign of your home PBBS is: 
Can your home station operate without commercial power?    YES     NO
If yes, what bands? 
Signed:       Date: 

If you prefer, the following form can be printed, filled in and sent to your Emergency Coordinator.