Sign up to support C.A.R.L.A. - K6LNK - California Amateur Radio Linking Association

Thank you for Supporting C.A.R.L.A.!

The following information is requested of you in order to process your application for support for the California Amateur Radio Linking Association (C.A.R.L.A.). The items with an asterisk are required information. The other items are not required, but we would appreciate if you would fill them out, as it helps us to get an idea of who the users of our system are and what they would like out of the system. Any comments or suggestions you would care to make will be given close attention by our trustees and directors.

The information you submit will not be disclosed to any third party except with your explicit permission. Please see the C.A.R.L.A. Privacy Policy if you have any questions.

Please fill out the form below. Fields marked with a * are required.

General Information
First Name *
Last Name *
Account (Optional)
Username
Password	Please confirm the password you would like to use by entering it twice, below:
Security Question	Please choose a security question and enter an answer. This is used if you ever forget your login info. Answer:
Please Note: Creating an account is not required, but is suggested so that you can keep your information up to date.
Callsign
Callsign *
License Type *	If there is no exact match, pick the closest available option
Address
Street *
City *
State *
Zip Code *
Contact Information
Primary E-Mail *
Secondary E-Mail
Home Phone
Work Phone
Cell Phone
Pager
Other Phone
Are you currently a member of the C.A.R.L.A. Yahoo Group?
May C.A.R.L.A. contact you from time to time with announcements, etc? Please note: C.A.R.L.A. will NOT contact you unless you explicitly opt-in. Please see the C.A.R.L.A. Privacy Policy if you have any questions.
About You
When are you usually on the radio?
What kinds of radio(s) do you have?
Do you belong to any amateur clubs or organizations?
What is your occupation?
Do you have any specific technical training?
C.A.R.L.A. & You
What are the C.A.R.L.A. System(s) you use most often?
Are you interested in helping out on any C.A.R.L.A. projects in the future? If so, please describe:
What resources do you feel you have that might be of benefit or use to C.A.R.L.A.? (List anything that comes to mind)
Do you have a specific area of interest as far as supporting C.A.R.L.A.?
Other Information, Suggestions, or Comments?