License Renewal or Cancellation

If you need to renew your license before it expires, or if you no longer use the radio system for which you are authorized, simply enter your information in the boxes below and submit to us. We will first call you to discuss, and then send you a completed application form for your review and signature. It is that simple!

Call Sign(s):

Applicant Taxpayer Id #:

Must have this information to process the application

Applicant Name:

First:
Last:
MI:
This is the person responsible for the license.

Title:

Company Name:

Mailing Address:

City:

State:

Zip:

Phone:

Fax:

E-mail Address: