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South County Amateur Radio Emergency Service Inquiry Form


Use this form if you:

  • want more information about becoming a SCARES member
  • want to become a SCARES member
  • want to become an Amateur Radio Operator
  • are interested in taking code classes

Just fill in this form, submit it, and someone will contact you (allow 5-7 days, just in case). You MUST supply a phone number or email address if you want to be contacted!
If you have any problem submitting this form, please let us know!



Choose all that apply:

I want more information about becoming a SCARES member
I want to become a SCARES member
I want to become an Amateur Radio Operator
I'm interested in taking code classes

Name:
required
Callsign:

Street Address:

City, State, Zip:

Give us a way to contact you ...
Home phone:

Work phone, extension:

E-mail address:

Best time to contact you:

Comments:

Enter the code you see in the image above (case counts!).

or

 

When you click "Send Message", the message will be examined for signs of spam. If your message is approved, it will be sent.

If you see a message like the one shown below, click OK to confirm resending your message form data.

 
     
     

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