Pre-registration Form



Please take a few moments to fill out this form.


Name: First Last

Call letters E-mail address

Telephone number


What examination session do you plan on attending?


Do you presently have a License?

No
Yes
 If so, what class do you hold?
Check all that apply

CSCE
Novice
Technician
Pre 1987 Technician
Pre 1991 Technician
General
Advanced
 What tests do you plan on taking?
Check all that apply

Technician
General
Extra

Will you require special assistance?
No
Yes

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