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, WAS/VUCC Awards Manager, DXCC Card Checker, 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
WAS/VUCC Awards Manager -- GRAY
DXCC Card Checker -- GRAY
Life Member, Charter Life Member -- YELLOW