Club Member Interest Survey

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Please complete our optional Club Member Interest Survey so we can better serve you.

Information is for club use only!

Items in Red are required - All others are optional.

Call Sign
Name
Email
 


Also A Member Of

please include chapter or region, if any
ARRL
Chapter:
SCARES
Chapter:
ARES
Chapter:
RACES
Chapter:
SkyWarn
Chapter:
CERT
Chapter:
NEST
Chapter:
NERT
Chapter:
AMSAT
Chapter:
Other Organization & Chapter or Club:
 
 


Bands You Frequent

feel free to include any notes, like your "main" frequency and mode, etc.
160 Meters
Note:
80 Meters
Note:
40 Meters
Note:
30 Meters
Note:
20 Meters
Note:
17 Meters
Note:
15 Meters
Note:
12 Meters
Note:
10 Meters
Note:
6 Meters
Note:
2 Meters
Note:
220 MHz
Note:
440 MHz
Note:
900 MHz
Note:
1.2 GHz
Note:
2.4 GHz
Note:
Microwaves +
Note:
Other Bands:
 
 


Modes You Use

feel free to include any additional notes, etc.
FM
Note:
AM
Note:
SSB
Note:
CW
Note:
RTTY
Note:
PSK31
Note:
Packet
Note:
APRS
Note:
WIRES
Note:
ARTS
Note:
SSTV
Note:
ATV
Note:
Satellites
Note:
EME
Note:
FM Digital
Note:
Other Modes:
 
   


Other Communications You Use

feel free to include any notes, like your "home" or "emergency" channel and CTCSS, etc.
GMRS
Note:
FRS
Note:
MURS
Note:
BRS
Note:
MARS
Note:
CAP
Note:
Marine
Note:
Aviation
Note:
CB
Note:
Other Communications:
 
 


Any Additional Notes

any special interests or ideas for the club?

don't be shy

:)

or

- please click only one time and wait for a response -

If you have repeated problems with this form,
please email us at MemberSupport@MSARC.com.


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