ARES Application Data Form 2006-04-25

This is a text form you may easily complete using a standard text
writer on your computer. Wordpad is recomended.
Please enter data starting at the beginning of a line. 
The line will be erased as you type. Erase the remainder of the line. 
This will allow us to easily collect data for entry into the ARES 
directory used to notify you in emergencies. 
For a NEW Application: Delete “/Update “. To Update data delete “NEW/ ”. 
Fill in data below. 

The completed form should be Saved As (mycall.txt) and emailed to Gary, kd7mwl@n7pl.org

NEW/UPDATE
----------
 01     Current Date:	______________________________________________
NAME
 02     First Names:	______________________________________________

 03       Last Name:	______________________________________________
AMATEUR RADIO LICENSE
 04       Call Sign:	______________________________________________

 05   License Class:	______________________________________________
CONTACT INFORMATION
MAILING ADDRESS
 06          Street:	______________________________________________

 07            City: 	______________________________________________

 08           State: 	______________________________________________

 09             Zip: 	______________________________________________
PHONES & PAGERS
 10      Home Phone: 	______________________________________________

 11      Work Phone: 	______________________________________________

 12      Cell Phone: 	______________________________________________

 13           Other: 	______________________________________________

 14     AWACS Pager: 	______________________________________________

 15     Other Pager: 	______________________________________________
INTERNET
 16   Email Address: 	______________________________________________
 
ADDITIONAL INFORMATION: