ACR Electronics PLB, NOAA Manuale

Sfoglia online o scarica il pdf Manuale per GPS ACR Electronics PLB, NOAA. ACR Electronics PLB, NOAA 2. Official 406 mhz elt registration form

Stampa la pagina
ACR Electronics PLB, NOAA Manuale
Save Time! Register your beacon online at: www.beaconregistration.noaa.gov
Mail or Fax to: NOAA/SARSAT E/SP3, Room 3320, FB-4, 5200 Auth Road, Suitland, MD 20746-4304
ELT Information
ELT Manufacturer ________________________________ Model No. ___________________________________________
ELT Registration
New ELT Registration
Renewal of ELT Registration
Change of ELT Information or Ownership
Owner/Operator Information
Name______________________________________________
Mailing Address______________________________________
___________________________________________________
City _____________________ State/Province _____________
ZIP (Postal) Code __________ Country ___________________
Aircraft Information
Registration (Tail) Number__________________________
Usage
Commercial
Non-
Government Military
Type
Single-engine Propeller
Multi-engine Jet
Helicopter
Aircraft Manufacturer ______________________________
Model ___________________Color __________________
Seating Capacity _________________________________
Radio Equipment
(Check all that apply)
VHF
MF
HF
Emergency Contact Information
Name of Primary 24-Hour Emergency Contact:
__________________________________________________
Telephone
(
)_____________________
Area Code
(
)_____________________
Area Code
(
)_____________________
Area Code
(
)_____________________
Area Code
Signature __________________________________________
If you have any questions about this form or with ELT registration in general, please call 1-888-212-SAVE (7283) or 301-457-5678.
For information on the U.S. Search & Rescue Satellite-Aided Tracking system, please visit: www.sarsat.noaa.gov
Official 406 MHz ELT Registration Form
Beacon ID (Unique Identifier Number)
(15 digit character ID provided by ELT manufacturer)
Replacement of ELT Decal
Check here if this ELT is a replacement for a previously registered ELT.
Please enter the old ELT unique ID number ______________________
(Last, First, Middle Initial)
commercial
Government Non-military
Single-engine Jet
Multi-engine Propeller
Other _________________________
SSB
Other ___________________
(Please indicate someone other than the owner)
Home
Work
Cellular
Home
Work
Cellular
Cellular
Home
Work
Cellular
Home
Work
E-mail ___________________________________________
Telephone
(
)_____________________
Area Code
(
)_____________________
Area Code
(
)_____________________
Area Code
(
)_____________________
Area Code
Survival Equipment
Deployable _____________________________________
Fixed __________________________________________
Principal Airport _________________________________
________________________ ________________________
Additional Data ___________________________________
________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
Name of Alternate 24-Hour Emergency Contact:
________________________________________________
Telephone
(
)_____________________
Fax
Other
Area Code
(
)_____________________
Fax
Other
Area Code
(
)_____________________
Fax
Other
Area Code
(
)_____________________
Fax
Other
Area Code
Date ____________________________________________
Fax No. 301-568-8649
Home
Work
Home
Work
Home
Work
Home
Work
Describe and List Quantity
Describe and List Quantity
City
Home
Work
Home
Work
Home
Work
Home
Work
OMB 0648-0295/exp. 30 Nov. 2004
Cellular
Fax
Other
Cellular
Fax
Other
Cellular
Fax
Other
Cellular
Fax
Other
State
Cellular
Fax
Other
Cellular
Fax
Other
Cellular
Fax
Other
Cellular
Fax
Other
A1-20-1180 Rev. A