Ham Aid Equipment Request Form

ARRL Section *

Section Manager *

Call Sign *

Address *

Address 2

City *

State *

Zip *

Home Phone *

Cell Phone *

E-mail Address *

Name of person who will accept kits upon arrival *

ARRL Appointment *

Call Sign *

Address *

Address 2

City *

State *

Zip *

Home Phone *

Cell Phone *

E-mail Address *

List Any Specific Needs in the Box Below

Repeater frequencies to be programmed into HT's (include PL if any)

Equipment Needed From *

Equipment Needed To *

Reason For Request *

Disaster or emergency either underway or anticipatedSelected and approved training and educational missionsSelected and approved expositions and demonstrationsOther (Enter reason in comments box)

Check radio button to indicate purpose of request

Comments

By entering your name in the space below you hereby agree to abide by the rules of the Ham Aid Program as outlined in the Ham Aid Program Guidelines. *

Having Trouble?

Public Service >> Ham Aid >> Ham Aid Equipment Request Form

ARRL

Ham Aid Equipment Request Form

EXPLORE ARRL

On The Air

Licensing, Education & Training

Membership

Regulatory & Advocacy

Public Service

Technology

Get Involved

Publications & Online Store

About ARRL

ARRL