CARCON - Submit Request

Coordination Request Form

Sponsor Initials :

Primary trustee call :

Sec. Trustee call :

ARRL Designation :	Public access?	Powered from?	Tone required?	Remote base?	Linked system?	Portable system?	Wide area coverage?
ARRL Designation :

Purpose :

Call sign Broadcast :

TX Frequency (MHz) :

RX Frequency (MHz):

Mode :

Tone :

Power (W) :

Gain (dB):

Beam Heading :

Beam Width :

Elevation (ft) :

Service Area :

Linked system Name :

City :

Email Address :

Site Name :

Latitude :

° ' "

Longitude :

° ' "

Known Site :

Notes:

Account password :

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