ARES Member Questionnaire
ARES Member / Station Capabilities
Callsign *
Office Phone
Primary Email
Amateur License Class *
License Expiration Date *
First Name *
Last Name *
Street Address *
City *
State *
Zip *
County *
City/State You Work In or None
Home Phone
Cell Phone
Secondary Email
Band/Mode Capability Information (F=fixed M=mobile P=portable)
| 160M (F) | 160M (M) | 160M (P) | 80-20M (F) | 80-20M (M) | 80-20M (P) | WARC HF (F) | WARC HF (M) | WARC HF (P) | 10M (F) | 10M (M) | 10M (P) | 6M (F) | 6M (M) | 6M (P) | 2M (F) | 2M (M) | 2M (P) | 220MHz (F) | 220MHz (M) | 220MHz (P) | 440MHz (F) | 440MHz (M) | 440MHz (P) | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CW | ||||||||||||||||||||||||
| SSB | ||||||||||||||||||||||||
| FM | ||||||||||||||||||||||||
| AMTOR | ||||||||||||||||||||||||
| PACTOR | ||||||||||||||||||||||||
| Packet | ||||||||||||||||||||||||
| Sound Card Modes |
If other, please specify:
Emergency Power Information
| 160M | 80-20M | WARC HF | 10M | 6M | 2M | 220MHz | 440MHz | |
|---|---|---|---|---|---|---|---|---|
| Battery | ||||||||
| Generator | ||||||||
| Solar | ||||||||
| Other |
If other, please specify: