Lubbock County RACES Signup Form

Welcome to Lubbock County RACES!

Subject : (please choose)
Do you want to be added to "LBBRACES and/or LBBHAM" listserver?
Your Amateur Radio Call or Club acronym :( "Nicknames are not acceptable")
Your Name : (Example: John Q. Public)
Your Address : (Where you get your snail-mail)
City :
Zip Code :
Work Phone with area code : (example: 123 456 7890)
Home Phone with area code :
Your Present Email Address (This is where we will send you mail, please be sure this is correct):
Cellular Phone (Dont worry, we wont give it out!)
Pager : (What kind?)
Pager Number:

Please list all modes of operation you have, mobile or fixed, and any skills you excel in. Please seperate with commas.