WX4RNK SKYWARN Spotter Membership Form

Enter your physical address, including county and state. Your latitude and longitude can be found by going to the Buckmaster CallSign Server and entering your callsign. Also enter your detailed location relative to a known town/landmark ("Seven miles west of Galax").

Mailing Address	(If different from above)
Address:
City:
State:	Zip

Enter your mailing address if it's different from your physical address.

Contact Numbers
Home Phone:	Primary
Work Phone:	Primary
Cell Phone:	Primary
Alternate Phone:	Primary
Can the NWS contact you by phone after 11:00 PM?	Yes No

Enter all applicable contact telephone numbers and designate which one is your primary contact number. Also advise if NWS Blacksburg can contact you after 11:00 PM in the event of severe weather in your area.

Repeater Access
Primary Repeater:
Alternate Repeater:
Other Repeaters:

Enter as primary the SKYWARN repeater that provides the best coverage in your area. If you can reliably access another SKYWARN repeater in your area, enter it as an alternate. Please also list all SKYWARN repeaters that you can work from your home and work locations. See our area Repeaters page for more information.

SKYWARN Training
Last Basic Class:
Location:
Date:
Last Advanced Class:
Location:
Date:
Other Special Skills:
Interested in operating at NWS during SKYWARN recognition day?	Yes No

Enter the location and dates of the most recent basic and advanced SKYWARN training classes you attended. Also list any special skills you may have that would be helpful to the SKYWARN program. And please indicate if you are interested in operating at NWS Blacksburg during the annual SKYWARN Recognition Day.

Home Weather Station
Do you have a home weather station?	Yes No
Manufacturer/Model:
Do you upload your data to a web site?	Yes No
If yes, please provide web site address:

Advise if you have a home weather station, including the manufacturer and model number. If you upload your weather station data to a web page, please provide the web site address (URL).

Additional Comments

Form when you are done