ARECRALLYFORM

Rally Radio Operator
Information form
Please complete all boxes that are applicable to you

Details for the

First operator

                            Name

                      Callsign

                      Branch #

                      Address

                        Suburb

                               City

         E-Mail Address

                      Phone (H)

                      Phone (W) / Ext.

                      Fax

                      Mobile

Your preferred position

Second operator

                            Name

                      Callsign

                      Branch #

                      Address

                        Suburb

                               City

         E-Mail Address

                      Phone (H)

                      Phone (W) / Ext.

                      Fax

                      Mobile

Other required information

All Radio Operators

Accommodation if required

5Km Operators equipment. I have ....

                      Radio point 100m sign Yellow

                      Radio point sign Blue

                        Red Cross sign

                               Yellow Radio Vest

         Yellow Flag

Enter remarks relating to your application

Motor Sport can be dangerous.

The above details are emailed to prc@ihug.co.nz

(Papakura Radio Club inc)

Return to AREC page
ARECRALLYFORM.HTML 08.02.2008

Name
Callsign
Branch #
Address
Suburb
City
E-Mail Address
Phone (H)
Phone (W) / Ext.
Fax
Mobile
Your preferred position

All Radio Operators
Accommodation if required
5Km Operators equipment. I have ....
Radio point 100m sign Yellow
Radio point sign Blue
Red Cross sign
Yellow Radio Vest
Yellow Flag