"HAMS"
WORKING FOR THE FUTURE OF AMATEUR RADIO
PUBLIC SERVICE EVENT APPLICATION
DO YOU NEED OUR HELP?
Please provide the following contact information
Name:
Organization:
Phone #:
Event Name:
Event Date:
Event Time:
Email:
DESCRIBE YOUR EVENT

ESTMATED HOURS YOU WILL NEED US
ESTMATED ATTENDANCE
DO YOU WANT US TO HELP WITH TRAFIC CONTROL   YES        NO
WILL THERE BE CONCESSIONS STAND(S) AVAILABLE     YES          NO
IS YOUR ORGANIZATION A TAX EXAMPT 501C3    YES         NO
DO YOU NEED TO USE THE CLUB PORTABLE PA SYSTEM  YES       NO

EQUIPMENT MAINTANCE IS A COST TO THE CLUB.
WOULD YOU BE WILLING TO GIVE OUR CLUB A DONATION   YES        NO
WHAT IS YOU SPECIFIC NEEDS
HOW DID YOU HEAR ABOUT OUR CLUB PROVIDING PUBLIC SERVICE EVENTS?
NORTH BREVARD AMATEUR RADIO CLUB IS
A NON-PROFIT ORGANIZATION UNDER IRS PART 501c3
WILL THE SHERIFF DEPT BE HELPING WITH TRAFFIC CONTROL   YES         NO