Northwest Mississippi
Amateur Radio Emergency Service
On Line Registration
"When all normal means of communications fail ..... you make the difference"
Subject : (please choose)
Your Call Sign:
Your license class:
Your Name :
Your Address :
City :
County :
State :
Zip Code:
Phone :
Pager :
Email Address :
Your website URL:

Do you have an EMERGENCY SERVICE BADGE?

What is your desired position on the calling tree?

Please select your available operating Band/Mode combinations:

Select all that apply:
(specify capabilites of equipment in your possession, not license class priviledges)
  CW FM RTTY SSB MOBILE PACKET
160
80
40
20
15
10
6
2
220
440 
IF PACKET LIST YOUR PBBS:  
LIST ANY OTHER COMBINATIONS:
Can your home station operate without commericial power?
IF YES WHAT BANDS? 160 80 40 20 15 10 6 2 220 440
 
Do you have spare batteries for your HT?
Please list list any skills you believe to be of significant value to ARES:

Comments: