Registration

Instructions

This form will generate an email using your email program. After completing the form, please click register. A new email will open. Please send this email. It will be sent to the Information Systems Officer for Delta County RACES. If you do not want your information sent via email do not send the email. Please download our Word Doc form.

Name
First: Last: Suffix:

FCC Info
Call Sign: Expiration: Class:

Address
Physical:
Mailing:
City: County: Zip:

Contact
Home Phone: Work Phone:

Email Address:

Occupation

Emergency Skills
Antennas? Electronic Tech? Computer Software?
Welder? Towers? Electrician?
Computer Hardware? Carpenter? Repeaters? IRLP / EchoLink?

Amateur Radio Leadership Positions

Station Capability
FIXED? Mobile / Portable? B / U Battery? Solar? Generator?

Affiliations ARES? CERT? MARS? CAP? SKYWARN