North Fulton ARES Member Form
This form will collect basic information on your call sign, QTH address, emails, your QTH Rig(s) and Mobile /Field operations. Also your capabilities as a HAM operator on Modes, Analog and Digital capabilities,  both QTH and Mobile Antennas.
Email *
Full Name
Preferred First Name
Call Sign
Mailing Address
City, State Zip
Primary Email Address
Secondary Email Address
Cell Phone
Alt Phone
Volunteer SET(Simulated Emergency Test) Oct 7, 2023?
Clear selection
FCC Amateur Radio License Class
*
GMRS License Call sign

Other Licenses ( MARS / RACES / etc. )

Band and Modes on Base Stations Home QTH
HF
6M
2M
70cm
Other
SSB
CW
FM
AMTOR
APRS
FL Digi
WinLink
VaraAC
JS8 Call
AM
SSTV
WeFax
Band and Modes Mobile Operations
HF
6M
2M
70cm
Other
SSB
CW
FM
AMTOR
APRS
FL Digi
WinLink
VaraAC
JS8 Call
AM
SSTV
WeFax
BaseStation Rig 1
BaseStation Rig 2
BaseStation Rig 3
Mobile Rig 1
Mobile Rig 2
Mobile Rig 3
Handheld Transceivers
Handheld Transceivers 2
Handheld Transceivers 3
QTH Antennas
160M
80M
60M
40M
30M
20M
17M
15M
12M
10M
6M
2M
70cm
Dipole 1
Dipole 2
Dipole 3
Dipole 4
Off-Center Fed 1
Off-Center Fed 2
End Fed Half-Wave 1
End Fed Half-Wave 2
Random Wire 1
Random Wire 2
Horizontal Loop
Yagi 3 Element
Yagi 4 Element
Yagi 5 Element
Delta Loop
Vertical 1
Vertical 2
Folded Dipole 1
Folded Dipole 2
HexBeam 1
HexBeam 2
Quad 1
Quad 2
Discone
J-Pole
Slim-Jim
Other 1
Other 2
Mobile/Field Antennas
160M
80M
60M
40M
30M
20M
17M
15M
12M
10M
6M
2M
70cm
Dipole 1
Dipole 2
Dipole 3
Dipole 4
Off-Center Fed 1
Off-Center Fed 2
End Fed Half-Wave 1
End Fed Half-Wave 2
Random Wire 1
Random Wire 2
Horizontal Loop
Yagi 3 Element
Yagi 4 Element
Yagi 5 Element
Delta Loop
Vertical 1
Vertical 2
Folded Dipole 1
Folded Dipole 2
HexBeam 1
HexBeam 2
Quad 1
Quad 2
Discone
J-Pole
Slim-Jim
Other 1
Other 2
A copy of your responses will be emailed to .
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy