LSPR 2006
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Volunteer Registration
RADIO COMMUNICATIONS ONLY

IF YOU ARE REGISTERING TO WORK ANY OTHER SPECIALTY,
PLEASE USE OUR OTHER FORM.

First name Last name
Address
City State/Province ZIP/Postal code
Country    (leave blank for USA)
Phone
format: XXX-XXX-XXXX		 Alt phone
format: XXX-XXX-XXXX
E-mail Call Sign  
IF you have your Amateur Radio License
Rally America Worker License #  
 
Please list any equipment you can/will bring to the rally:
What is your volunteer experience
in Performance Rally?  
Do you have a car or ride (to get out to your volunteer assignment)? YES NO
If you are riding with someone else, please give their name.
 
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