signup-form

First Name
Last Name
Nickname
Address	This must match your callsign information
City	This must match your callsign information
State	This must match your callsign information
Zip Code	This must match your callsign information
Country	This must match your callsign information
Phone	Your primary contact number
Email
Copy of License	Upload a copy of your amateur license.
ID Type	ID Type Individual Public
Home Repeater	Do you have a home repeater you use?
Callsign	Please enter your legal callsign
	Forget your private link? Click here to have it emailed to you.

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