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2. Name
4. What Class of Amateur Radio License do you hold?
6. Call Sign
8. Do you have operational equipment for the following:

   1. HF Fixed
   2. HF Mobile
   3. HF Portable

   1. VHF Fixed
   2. VHF Mobile

   1. VHF Portable
   2. UHF (70cm) Fixed

   1. UHF Mobile
   2. UHF Portable
10. Have you been part of ARES or RACES of CD?
    -- Select One --NoYes
12. Are you a member of ARRL?
    -- Select One --NoYes
14. Do you have any experience with the National Traffic System (NTS)?
    -- Select One --NoYes
16. Have you taken ARRL Emergency Communications Course?
    -- Select One --NoYes
18. Are you a NWS Skywarn Observer?
    -- Select One --NoYes
20. Would you be willing to attend an informational meeting?
    -- Select One --NoYes
22. Emaill Address
24. Additional Comments
26. Even if you answered no to all but the last one about attending meetings, and are interested in emergency communications, please return the survey to me. I am more interested in who is interested than anything else. We can and will offer the necessary training to all who are willing to make the commitment of time.
    
    Questions? Call me at 978-356-4343 or email.
    
    Thanks in advance for the information.
    
    Sergeant Jonathan Hubbard
    Emergency Management Director
    Training Coordinator
    Ipswich Police Department
    Ph: 978-356-4343
    Fx: 978-356-6625
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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

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