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 [email protected]
(Papakura Radio Club inc)

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ARECRALLYFORM.HTML 8/02/2010