Change Subscriber Details - VKS-737 The Australian National 4WD Radio Network

Change of Subscriber Details

Change of VKS-737 Radio Network Subscriber Details.

Contact details

This form is NOT for change of Selcall Number and Callsign. PLEASE NOTE: Selcall Numbers and Callsigns NOT transferable to other subscribers.

Selcall Number*

Callsign

Name*

First Last

Spouse/Partner

First Last

Telephone Number

Mobile Phone Number

Address*

Street / Postal Address City State / Province / Region ZIP / Postal Code Country

Email

Hardware details

Must be ACMA approved as per VKS-737 document DOC 21 (The use of Amateur Radio equipment is prohibited)

HF Radio - Make

HF Radio - Model

Radio Location

Vehicle / Vessel / Aircraft in which HF radio is fitted:

Make

Model / Type

Colour

Registration Number

Emergency Contact

First Last

Telephone

Mobile

Emergency Contact

First Last

Telephone

Mobile

Signature

Date

Privacy Statement

The information on this form is collected and stored for the management of the Network and its activities. It will be used by Head Office Staff, and portions may also be provided to Committee members and Base Station Operators from time-to-time when necessary for carrying out Network duties or activities. Some details may be provided to other entities (eg ACMA, Emergency Services Organisations) in relation to Network activities. ONLY your Name(s), Callsign & Selcall Details will be published in the Network User lists, both in printed form and on our website. No other details will be published. Full details of our Privacy Policy can be found in the Privacy Code of Practice available from VKS-737 Head Office or from our website.

Comments

CHANGE OF SUBSCRIBER DETAILS

VKS-737 RADIO NETWORK SUBSCRIBER

Change of Subscriber Details

Contact details

Hardware details

Radio Location

Emergency Contact

Signature

Privacy Statement

START USING VKS-737 TODAY!