ARRL Indiana Section Application for Appointment as Technical Specialist (TS)

For a descripion of a TS click on this link.
http://www2.arrl.org/FandES/field/org/ts.html

Fill out as completely as you can and click the send button at the bottom.
This will create an email with an attachement that's sent to wd9eyb@arrl.net
Alternatively fill out the form, print it, and mail it to
Jim Osburn, WD9EYB
ARRL Indiana Section Technical Coordinator
2901 Ohio Blvd., Suite 250
Terre Haute, IN 47803

The information you provide will be provided to hams seeking technical
help so they can contact you and will appear in a list of Technical
Specialists on the section web page.
Name:

Call:

Address Line 1:

Address Line 2:

City:

State:
Zip code:
You need to be in Indiana. Contact the TC for your section if you're elsewhere.
County:

Primary Email Address (callsign@arrl.net recommended):

Secondary Email Address (your "real" email address)

Telephone Number (day):

Telephone Number (night):

Telephone Number (cell):

Your Qualifications:

Areas of Techical Expertise:

Additional Comments:

I agree to maintain current League membership, and report my station activty on a regular basis.
Check to agree.