Int'l Rally New York 2007 Marshal Information Form

September 6-8, 2007
Ellenville - Monticello - Narrowsburg, New York

Marshal Information

To volunteer to help man the Amateur Radio Network,
DO NOT FILL OUT THIS FORM, GO HERE INSTEAD!

First Name:             
Last Name:              
Street Address:         
City,State,Zip:         
Phone Home:             
Phone Work:             
E-Mail:                 

Work Experience: 	Stage Rally  TSD Rally 
(Check all that apply)
I would like to work as a: Stage Captain  Control Worker Course Marshal 

HAM License?
If Yes, please enter Call Sign 	


Medical Certification?
If Yes, please enter Type

If you have marshal questions, contact: Kym Garcia, Chief Marshal

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