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User Guide

ManualsBrandsACR Electronics ManualsOtherPLB, NOAA
12
Telephone
( )_____________________
( )_____________________
( )_____________________
( )_____________________
Area Code
Area Code
Area Code
Area Code
Home Work
Cellular Fax Other
Home Work
Cellular Fax Other
Home Work
Cellular Fax Other
Home Work
Cellular Fax Other
Telephone
( )_____________________
( )_____________________
( )_____________________
( )_____________________
Area Code
Area Code
Area Code
Area Code
Home Work
Cellular Fax Other
Home Work
Cellular Fax Other
Home Work
Cellular Fax Other
Home Work
Cellular Fax Other
Telephone
( )_____________________
( )_____________________
( )_____________________
( )_____________________
Area Code
Area Code
Area Code
Area Code
Home Work
Cellular Fax Other
Home Work
Cellular Fax Other
Home Work
Cellular Fax Other
Home Work
Cellular Fax Other
Official 406 MHz PLB Registration Form
Owner/Operator Information
Name______________________________________________
Mailing Address ______________________________________
___________________________________________________
City _____________________ State/Province _____________
ZIP (Postal) Code __________ Country ___________________
E-mail ______________________________________________
(Last, First, Middle Initial)
General Use Data
Emergency Contact Information (Please indicate someone other than the owner)
Name of Primary 24-Hour Emergency Contact: Name of Alternate 24-Hour Emergency Contact:
__________________________________________________ ________________________________________________
If you have any questions about this form or with PLB 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
OMB 0648-0295/exp. 30 Nov. 2004
Beacon ID (Unique Identifier Number)
PLB Information
(15 digit character ID provided by PLB manufacturer)
PLB Manufacturer ________________________________ Model No. ___________________________________________
Signature __________________________________________ Date ___________________________________________
PLB Registration
New PLB Registration Replacement of PLB Decal
Renewal of PLB Registration Check here if this PLB is a replacement for a previously registered PLB.
Change of PLB Information or Ownership Please enter the old PLB unique ID number __________________________
Usage
Commercial Non-commercial Government Military Government Non-military
Specific Usage
Hiking Hunting Fishing Other ____________________
Type
Land Vehicle Boat Aircraft None Other ____________________
Additional Data
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
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
Fax No. 301-568-8649
A1-20-1036 Rev. D

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