Arapahoe County Amateur Radio Emergency Service
Site Survey Form
LOCATION:
TACTICAL:
Address:
Contact:
City:
Zip:
Phone:
Do not enter dashes
MAJOR CROSS STREETS:
GPS Lat:
Long:
Map Page:
Operation Location/Inside Facilities:
Desk/Table?
NO
YES
OTHER
Other:
Distance(Feet) to 120AC:
Nearest Door/Window:
Best inside Antenna Location:
Antenna?
NO
YES
Connector:
PL-259
N-Type
BNC
Phone nearby?
YES
Phone:
Do not enter dashes
Fax:
WiFi?
NO
YES
Authentication:
SSID:
Key:
Additional Comments:
Your Callsign:
Your E-mail:
Replace with your e-mail address!
Prove You are Human! (required)
Enter a number two here before clicking on the Submit button!