VE Testing Registration

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Lake County RACES VE Testing
Online Registration

Date of Test

First Name Last Name

Home Address Apt. No.

City State Zip Code

Evening Phone Number

E-mail Address Current License Call Sign

Required by the FCC after December 3, 2001

CORES FRN, TIN or "Foreign" Date of Birth

Enter all of the exam elements that you plan to take:

Written Exams: (check all that apply)

Technician General Extra Paperwork Only

Join the Lake County RACES VE Team

I want to join the team. I am a Certified VE I need certification Information

Comments or Special Accomodations:

VE Registration
Note:
I acknowledge every application upon receipt. If you do not get email confirmation of
your application within a week of submission, somehow it got lost. Please resubmit your application.
TNX, Dave-W9QL

Clear Form and Start Over

Or
Print this form and mail it to:
Lake County RACES VE Liaison:
Dave Pritchard, W9QL
7583 Dada Dr.
Gurnee, Il 60031