Instructions

ARRL Field Organization Call-Sign Badge Order Form

Provide all of the requested information on the form below, following the instructions on the reverse. Use a separate form for each badge order. (Photocopies of this blank form will be accepted).

NAME:___________________________________ CALL SIGN:_____________
(as it should appear on the badge -- PRINT LEGIBLY)

STREET ADDRESS:_______________________________________________

CITY__________________________________STATE_______ZIP__________

Daytime Phone:______________ Evening Phone:______________

E-mail address: _________________________

ARRL SECTION:____________________________
(only if you are a Section-Staff, Station, Emergency Communications or NTS Leadership appointee)

ARRL DIVISION:____________________________
(only if you are an Assistant Director, Advisory Committee Member, QSL Bureau Manager/Worker, Technical Advisor, Volunteer Counsel, Volunteer Consulting Engineer, Volunteer Examiner, ARRL Monitoring System appointee, Awards Manager, DXCC Field Reps, or Life Member)

APPOINTMENT:___________________________
(see eligibility table

for correct title)
[Life Members: enter "Life Member" or "Charter Life Member" as applicable]

AUTHORIZED COLOR:_____________________
(see table)

CHOICE OF FASTENER:____________________________

AMOUNT ENCLOSED: $____________

Official American Radio Relay League Field Organization Call-Sign Badges: Eligibility and Background Colors

Section Staff Appointees -- GREEN

Assistant Section Manager, Affiliated Club Coordinator, Bulletin Manager, Official Observer Coordinator, Public Information Coordinator, Section Emergency Coordinator, Section Traffic Manager, State Government Liaison, Technical Coordinator

Station Appointees -- BLUE

Official Observer, Official Emergency Station, Official Relay Station, Technical Specialist, Official Bulletin Station, Public Information Officer, Local Government Liaison

Emergency Communications Appointees -- ORANGE

District Emergency Coordinator, Emergency Coordinator, Official Emergency Station, Assistant Emergency Coordinator

NTS Leadership Appointees -- LIGHT GREEN

NTS Area Staff, Net Manager

Division Appointees -- LIGHT BLUE

Assistant Director and Advisory Committee Appointee

Other Appointees

QSL Bureau Managers -- RUST
QSL Bureau Workers -- RUST
Technical Advisors -- BROWN
Volunteer Counsels -- PURPLE
Volunteer Consulting Engineer -- PURPLE
Volunteer Examiners -- TAN
ARRL Monitoring System -- BURGUNDY
Awards Manager -- GRAY
DXCC Field Representative -- GRAY
Life Member, Charter Life Member -- YELLOW