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Renewals

(Note: this form is not intended for Amatuer / Ham renewals)

*Call Sign(s)Only enter call signs if it is for the same entity

*Email

Are there any changes?If there are no changes you can skip address and contact information

Yes

No

Applicant NameA change in corporate name cannot be completed in renewal application if change in corporate structure.

Attention to

Title

*Phone Number

Mailing addressEnter street or PO Box

City

StateJurisdictions, and areas

Zip code

Secondary Contact / Service Shop

Contact Entity NameService shops enter your data here

Attention to

Title

*Email

Phone Number

Mailing addressEnter street or PO Box

City

StateJurisdictions, and areas

Zip code

OtherEnter special instructions here