Iowa Repeater Council, Inc.
Member, Mid-America Coordination Council
Use this form to apply for the coordination of a remotely located receiver as part of a larger repeater system. It is understood that all data is proposed. Please fill in ALL the blanks.
Information Current as of: _______________ Town where located: ___________________
Receive Frequency: _______________ Rcvr Ant HAAT: __________________
Exact Location: N Lat: _____d _____m _____s; W Lon: _____d _____m _____s
Main transmitter site: N Lat: _____d _____m _____s; W Lon: _____d _____m _____s
Linked to transmitter site by wire: _________? or by radio: ____________?
If radio, give the following info (remember to coordinate the freq!)
Link Xmtr Freq: ______________ Link Xmtr Callsign: ________________
Link Xmtr Ant HAAT: __________ Link Antenna type: _________________
Power Out at Xmtr: ____________ Watts ERP at Antenna: ___________________
[ see other worksheets for HAAT and ERP calculations ]
Link Control Modes: Sub audible ______ Tone: __________________________
Touch Tone ______ Sequence: _______________________
Other ___________ (specify):___________________________
Is there a Control Receiver associated with this remote location? _________ Y/N
If so, what frequency does it use? ____________________ MHz
(Remember, it too, must be coordinated to be protected.)
System Trustee: Name: ___________________________ Call: _________________
Street: ___________________________________________________
City: ___________________________ State: _____ Zip: ________
Day Phone: (________)____________________________
Night Phone:(________)____________________________
Sponsoring Group Name: ___________________________ Call: _________________
Street: ___________________________________________________
City: ___________________________ State: _____ Zip: ________
Indicate which should receive into/mailings from the Council, the Trustee ____ or the sponsoring group _________.
I acknowledge receipt of a copy of the Mid-America Coordination Council, Inc., Coordination Guidelines. I have read them and agree to abide by them and cooperate with the Iowa Repeater Council, Inc., and the Frequency Coordinator.
Completed by: (PRINT) _______________________________ Date: __________________
Signature: _________________________________________________________________
E-mail Address: _____________________________________________________________
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Please Return to:
Paul Cowley, WØYR Frequency Coordinator, Iowa Repeater Council, Inc. 4011 Westlawn Drive AMES, IA 50010
E-mail: coordinator at iowarepeater.org