Duval ARES Registration
Name:
Email Address:
Call Sign:
License Class:
Advanced
Extra
General
Novice
Technician
Mailing Address:
Home Phone:
Work Phone:
Cell Phone:
Pager:
Can your home station be operated w/o commercial power?
Yes
No
Modes - HF:
SSB
CW
FM
DATA
PACKET
MOBILE
Modes - 6M:
SSB
CW
FM
DATA
PACKET
MOBILE
Modes - 2M:
SSB
CW
FM
DATA
PACKET
MOBILE
Modes - 220:
SSB
CW
FM
DATA
PACKET
MOBILE
Modes - 440:
SSB
CW
FM
DATA
PACKET
MOBILE
Please provide any additional comments:
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