March of Dimes WalkAmerica Sign-up Form
Public Service Communications Event
Enter your name and call:
Enter your email address :
Home phone (optional) :
Work phone (optional) :
Enter your T-Shirt size :
What Resource Type are you ?
(Enter all that apply)
Type S
Type B
Type M
Type DT
Type DA
Type DM
Type H
(See
Communicator Resource Type Guide.
)
Enter comments, operating preferences, and/or equipment :
Thanks for supporting Public Service Events.
Note: This form may not work from web based email programs.
Send comments or suggestions to:
John Galvin,
n5tim@arrl.net
Copyright © 1998-2008 John Galvin Last Modified 02-01-08