ARES Registration

Walworth County ARES Online Registration

| | | | | | | | | | | |

Online ARES Registration

Fill out the form below accurately and as completely as possible. The EC or an AEC will contact you in a timely manner. Thank You for your interest!

AMATEUR RADIO EMERGENCY SERVICE
ARES Registration Form
Walworth County, Wisconsin Section

Instructions: Fill in the form as best you can. Do not press enter until you are ready to send the form. Use Tab or your mouse to move between input boxes. All information collected on this screen will be used strictly for ARRL Wisconsin Section ARES purposes only.

General Information

Name:
Call sign:
Mailing Address:
City, State ZIP:
County of Residence:
County of Employment:
Email Address:
Home Phone:
Work Phone:
Cell Phone:
License Class:

Check bands and modes that you can operate:

MODE	HF	6 Meters	2 Meters	220 MHz	440 MHz	Other
SSB
CW
FM
DATA
Packet
Other Bands and Modes indicate below:

Can your home station be operated without commercial power? Yes No

Do you have Winlink capabilities? Yes No

Do you own a snowmobile or ATV? Yes No

Additional Comments:

Last update 1/2014