2019 - Technician Class License Course

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2019 - Technician Class License Course - Registration Form

2019 - BARS/FRRL Technician Class License Course - Registration Form
Registration is requested to provide the class Coordinators information on how many people will be in attendance, and a means by which to contact you about the class when needed.

Last Name *

First Name *

Call Sign (if applicable)

Mobile Phone Number *

Home Phone Number *

Email Address *

Address *

City, Sate, Zip *

Although all age groups are welcome to attend the class. We need to ask - Are you over 18 years old? *

Yes

How did you hear about the Technician Class?

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