Mail List/Registration Request

 The information below will only be used internally. It will not be given to any other organization.

Please provide the following contact information:

Call Sign
E-mail Address

Unit Serial Number for Existing Customers:

(This number can be found on a sticker on the bottom of the RBC-212)

Phone Number:

If you would like us to use your current address on QRZ.COM, skip this section:

Address Line 2
Zip Code

Please list the Rig and Rotor you would like to control

Radio Manufacture  
Rotor Manufacture
When I work remote base, I would like to use my  
On Phone, I mostly use
Do you have a rotor with a serial port to control?
Do you have a desire to send CW remotely?
As a link to the RemoteShack, I would like to use
I would like to run remotely.