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Click here instead for [E-MAIL OR QUESTIONS]

Name:
E-Mail:
Street:
City:
State:
Zip:
Phone:         
Callsign if any:


Check ONE.
   I will be attending the ALL DAY session ( 8:30AM-5:00PM)
   I will come for a TEST ONLY ( 4PM )

Check ONE.
   TECHNICIAN License (Element 2)
   GENERAL License (Element 3)


If none above applies, explain here: