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Thank you for your support. By providing the information below, we can gauge how best to direct your support. C.A.R.L.A. can also contact you with updated information about supporting us. We welcome any comments you have.

The information you submit will not be disclosed except with your explicit permission. C.A.R.L.A. will NOT contact you directly, using the information you provide, unless you explicitly grant us permission to do so. Please see the C.A.R.L.A. Privacy Policy if you have any questions.

Fields marked with a * are required.

General Information
First Name *
Last Name *
Callsign
Callsign *
License Type *	--Select-- Novice Technician/Technician Plus General Advanced Amateur Extra  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 directly, using the information provided above?
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?   --Select-- System 2 System 3 System 4 System 5 System 6 System 7 System 8 System 9 System 10 System 11 System 12 System 13 System 14 System 15 System 16 System 17 System 18 System 19 System 20 System 21 System 22 System 23 System 24 System 25 System 26 System 27 System 28 System 29 System 30 System 31 System 32 System 33 System 35 System 36 --Select-- System 2 System 3 System 4 System 5 System 6 System 7 System 8 System 9 System 10 System 11 System 12 System 13 System 14 System 15 System 16 System 17 System 18 System 19 System 20 System 21 System 22 System 23 System 24 System 25 System 26 System 27 System 28 System 29 System 30 System 31 System 32 System 33 System 35 System 36
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?

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