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Please enter a Username to create an account. If you already have an account please login before completing this form.

Username *

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Must be all lowercase. Punctuation is not allowed in a Username with the exception of periods, hyphens and underscores.

First Name *

Last Name *

Email Address *

Call Sign *

License Class *

Year Licensed *

County (Primary) *

State (Primary)

Group(s) *

- - ARES: Ashtabula

- - ARES: Cuyahoga

- - ARES: Geauga

- - ARES: Lake

- - ARES: Lorain

- - ARES: Medina

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