Online Chenango County  ARES  Form

  BASE MOBILE PORTABLE OTHER

PORTABLE GENERATOR
CAR BATTERY
SPARE CAR BATTERY

LONG POWER CABLE FOR PORTABLE OPERATION
SOLAR POWER
HF BANDS

2M
220
440

SSB
AM
FM
CW
PACKET
RTTY
APRS (PACKET)
MAX POWER HF

MAX POWER VHF/UHF

EQUIPMENT  # XMITTERS

 

BASE

MOBILE

PORTABLE

OTHER

Please provide us with the following information about yourself and your station: 

Are you a member of:

   CVARA                         ARRL
I can operate my home station from emergency power: VHF YES
          NO		 HFYES
      NO
In the text box at the left, Tell us anything about your station that is not included in the above information.
License Class:    N     T      T+      G       A         E
Call:
Name:
Address:
City: State:
Zip:
E-mail:
Home Phone:
Work Phone: 
Cell Phone:     

When you have completed the above form, you may continue by clicking on the 'Send It' button to send your completed form to the Chenango County Emergency Coordinator (EC)

If you want to reset or clear the form and start again click on the reset button

The above information will only be used for official CVARA use only. No information will be used for or divulged to the general public in any manor

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Copyright © 2002 CVARA All rights reserved.
Revised: November 01, 2007.