KARC 2012 REPEATER COORDINATION FORM

Trustee Name: Trustee Call:
E-Mail Address: Club Home Page Address: http://www.
Address: City: State: Zip:
Day Phone: Evening Phone:

Application For:

I wish to be a member of KARC

Club or Repeater Sponsor (7 characters only):

Repeater Call:
   Publish Info?

Tx Output Freq.:
Rx Input Freq.:
PL:             Publish PL?
PL Usage: Rx Only Tx Only Both Time Based
Open Repeater? Autopatch? Emg Power? Linked? RACES? Internet:#
Tx Location City:
Rx Location C ity:
Directory Location:       Repeater Covers KC?
Antenna Height: ERP in Watts: Xmtr Lattitude:HHMMSS
Xmtr Longitude:HHMMSS
Receiver Lattitude:HHMMSS
Receiver Longitude:HHMMSS
Additional Info or Requests: