Please complete your information below. If you have registered here for 2022 previously, this will overwrite your last registration. If you are no longer available, simply submit with all the availability checkboxes clear.

Volunteers working at least (2) two hour shifts will receive free admission.

Please complete your information below. If you have registered here for 2022 previously, this will overwrite your last registration. If you are no longer available, please contact

Please complete your information below.

Name

Callsign (if licensed)

Club Affiliation(s)

Mailing Address

EMail Address

We won't make you type it twice, but please make sure it is correct!

Preferred Phone

Type:

Alternate Phone

Type:

Age

Under 18
18 or older

FRN

I understand I need to obtain an FRN if I want to take the VE exam at the end of the class.

Presentation Title

Description

Speaker Bio

Approximate Duration

50 mins.

1 hr., 50 min.

Other:

Check All Applicable

I would be willing to present more than one time to alleviate schedule conflicts.
My non-profit would like a table on the convention floor.

Equipment Needed

Projector
Audio
Laptop
Other:

Please indicate your availability

	8AM - 10AM	10AM - 12PM	12PM - 2PM	2PM-4PM	4PM-7PM	ALL
Thursday	Minimum Shift 4 Hr. on Thursday:
Friday
Saturday
Sunday

I registered previously but am no longer available.

Maximum # of 2-hour shifts
you are willing to work in any one day:

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