First, download this form as a TEXT (or HTML) form, then send the
filled out form to: ke3fl@juno.com (You only need to send back the DB
form portion, the parts between the "*"s, not the information or
the example.)

Here's how:

Fill in the blanks, wipe out all the license classes you do not hold,
wipe out the appointments you do NOT hold, wipe out the ARES equipment
you do not have at home, wipe out the bands you can not supply the
stated emergency equipment for, and last wipe out the bands you can not
work with your equipment.  (Do not fill in the "Call-UP:" section.)

A bit further down is an example of a filled out form.

Thanks & 73, KE3FL
Phil Karras
AEC Carroll County MD

*
Your address goes here
and here
and here
etc.
Z: (enter Zip-code and Name/call)
C: Carroll
M: membership good to 4/1/2001
S: ------------------------------------------------------------------------
H:   (145.41, auto: XX)
W: 
@: # (e-mail address)
T: Ticket             Novice, Technician +, General, Advanced, Extra, 1985?
S: ------------------------------------------------------------------------
A: ARRL Appointments  OBS, ORS, OES, AEC, VE
A: ARES Equipment     (on-loan to you like: 75AHr Battery)
E: Emergency Antenna  160, 80, 40, 30, 20, 17, 15, 12, 10, 6, 2,    , 440,
E: Emergency Antenna  What kind of emergency antenna do you have?
E: Emergency Field    160, 80, 40, 30, 20, 17, 15, 12, 10, 6, 2,    , 440,
E: Emergency Field:   What freqs (radio) can you put in the field?
E: Emergency Power    160, 80, 40, 30, 20, 17, 15, 12, 10, 6, 2,    , 440,
E: Emergency Power    What freqs can you supply E-power for (your rigs)
O: Other Emergency    Other comments (battery/generator power you have?)
C: CW                 160, 80, 40, 30, 20, 17, 15, 12, 10, 6, 2, 220, 440,
F: FM                 160, 80, 40, 30, 20, 17, 15, 12, 10, 6, 2, 220, 440,
R: RTTY               160, 80, 40, 30, 20, 17, 15, 12, 10, 6, 2, 220, 440,
S: SSB                160, 80, 40, 30, 20, 17, 15, 12, 10, 6, 2, 220, 440,
M: Mobile             160, 80, 40, 30, 20, 17, 15, 12, 10, 6, 2, 220, 440,
P: Packet             160, 80, 40, 30, 20, 17, 15, 12, 10, 6, 2, 220, 440,
B: BBS                160, 80, 40, 30, 20, 17, 15, 12, 10, 6, 2, 220, 440,
I: Interests- 
S: ------------------------------------------------------------------------
C: Call-UP: 
S: ------------------------------------------------------------------------
*
*

 --------------------------------------------------------------------------
  * EXAMPLE * EXAMPLE * EXAMPLE * EXAMPLE * EXAMPLE * EXAMPLE * EXAMPLE * 
 --------------------------------------------------------------------------

*
Philip Jones/KB3FIL
2202 Hooper Rd
Sykesville  MD  21784
Z: MD  21784  Philip Jones/KB3FIL
C: Carroll  (work in: Sterling VA,  Louden county)
M: membership good to 4/1/2001
S: ------------------------------------------------------------------------
H: 301-813-5156 
W: 703-709-1234
E: KB3FIL@myco.com
W: http://www.qsl.net/kb3fil
T: Ticket             Extra, 12/1995  (Novice: 6/94)
S: ------------------------------------------------------------------------
A: ARRL Appointments  ORS, OES, VE, AEC
A: ARES Equipment     75 AHr battery
E: Emergency Power    75, 65, 2-24, 3-7.5 AHr batteries
E: Emergency Power    160, 80, 40, 30, 20, 17, 15, 12, 10,    2,      440,
A: Emergency Antenna       80, 40,                            2,      440,
E: Emergency Field         80, 40, 30, 20, 17, 15, 12, 10,    2,      440, 
O: Other Emergency    Antenna Tuner for 80m dipole to do up to 10m
C: CW                 160, 80, 40, 30, 20, 17, 15, 12, 10,   
C: SSB                160, 80, 40,     20, 17, 15, 12, 10,   
F: FM                                                  10,    2,      440, 
M: Mobile                      40,     20,                    2,      440, 
P: Packet                                                     2, 
S: ------------------------------------------------------------------------
O: Other Emergency:   pole, 30 feet,  HF antenna tuner
I: Interests  Emergency Operations, cw, traffic nets: MEPN, MDD, MSN, QRP, 
I: Interests  antenna construction, electronics projects, field operations
S: ------------------------------------------------------------------------
C: Call-UP: 
S: ------------------------------------------------------------------------
*