Bandit Join Form

Double-click here to edit the text.

Fill out the form and then "Click" Submit

After you submit your information you'll be directed To The "Response-O-Matic" web site. Once the form has been sent "Click" on the "Purple Continue" Link. You'll then be redirected back to the Grid Bandit home page.

"You Do Not Need To Fill Out The Survey"

Thanks For Joining Our Effort!

Full Name(For Certificate):
Call Sign/Grid Square:
Street Address:
City/State/Zip Code:
Email Address:
How Did You Find Us:
What Bands Do You Have?:	144 MHz 222 MHz 432 MHz 902/903 MHz 1.2 GHz 2304 GHz 3 GHz 5 GHz 10 GHz 6 Meters
How Long Have You Been A HAM?	Less Than 1 year 1 - 5 Years 5 - 10 Years 10 - 20 Years 30 + Years Longer Than You Are Old!