2010 Milwaukee / Waukesha ARES

MACC Fund Trek 100

Amateur Radio

Volunteer

Registration Page

Please enter all requested information.  You will be contacted by email prior to the ride and given more information at that time.

Please provide the following contact information.  Use TAB to move between fields.  Press ENTER only once, when the form is completely filled out.

                    Call Sign:  

First Name
Last Name
Street Address
Address (cont.)
City
State
Zip Code
   
Work Phone
Home Phone
E-mail
Motorcycle mobile - Y/N
T-Shirt Size (S,M,L, etc.)
Submit only once.

Thank you for registering.  Email with further details will be sent as the ride nears.  Look for it in late April and May.

 

Revised: 02/23/10

©2003, 2004, 2005, 2006, 2007, 2008, 2009, 2010 Erich Berman (N9RTM)