NLE Registration Form
NLE Mass Care Exercise Amateur Radio Volunteer Registration Form
Name
*
First Name
Last Name
E-mail
*
Cell Phone
*
-
Area Code
Phone Number
Call SIgn
*
Licensure
*
Year First Licensed
*
EQUIPMENT
HANDHELD
VHF
UHF
DUAL BAND VHF/UHF
EXTRA BATTERIES
EXTERNAL ANTENNA WITH MAG MOUNT AND COAX ADAPTERS
MOBILE UNIT
VHF
UHF
DUAL BAND VHF/UHF
GO-KIT
VHF
UHF
DUAL BAND VHF/UHF
POWER SUPPLY
ANTENNA
DIGITAL CAPABLE
MOBILE UNIT
GO-KIT
CAN USE FLDIGI
DESCRIBE ANY DIGITAL CAPABILTIES
Comments
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