MARC TDS Form

MARC Technical Data Sheet
Repeater Coordination / Update / Review Form

Two methods are provided to handle your frequency
coordination request or update:

1. Submit the TDS Form via the US Mail

You may submit your coordination request via the US Mail by completing a Adobe pdf version of the TDS FORM, following the instructions provided, and mail your request to the address listed on the form.

2. Submit the TDS Form via the Internet

You may submit your coordination request by completing the email form below. Instruction links are provided next to items that require additional explaination.

Either method of submission is designed to handle all aspects of frequency coordination.

The information submitted is to be completed by an individual with license privileges covering this frequency of operation. This person will be solely reponsible for any and all correspondence with MARC and will be the coordination holder of record. This person can be the owner of a system, a partner in a repeater group, a trustee of a radio club, or any other designee who has sole system responsibility. The submitted form must be complete and contain all required information for the action requested.

Note: Required Fields are in red.

Action Requested: ( Instructions )

Michigan Coordination #:   (Existing Coordinations Only)

System Type: ( Instructions )

Requested Band: -MHZ

Output Frequency:   MHZ  (For a New Coordination enter "Assign")

Input Frequency:   MHZ

Control Frequency:   MHZ

System Status: -Date: ( Instructions )

Coordinated Class:

Sponsor:
(Note: The Sponsor is the actual holder of the coordination.)

Repeater Callsign:   If New Enter Old Callsign:

Geographic Area Served:   Quadrant ( Instructions )

County Identified With Station: * Upper Peninsula Counties must contact UPARRA for coordination

City Identified With Station:

System Owner:

Street Address of Repeater: ( Instructions )

Nearest Intersection:

Receiver Location If Different:

Latitude:    Degrees Minutes Seconds

Longitude: - Degrees Minutes Seconds

Ground Elevation Above Sea Level:   In Feet

Antenna Height Above Average Terrain:
  In Feet  ( Instructions )

Antenna Height Above Ground Level:   In Feet

Antenna Gain:   db

Antenna Radiation Pattern: Omni Directional

Antenna Bearing if Directional:   degrees

Power into Antenna:   watts

Effective Radiated Power:   watts ( Instructions )

Access Mode: Access

Check All That Apply:

PL CTCSS Hz
Note: PL is required for Closed Repeaters (Excluding Links).

Do you want your repeater listed in the
ARRL Repeater Directory?   Yes No

DTMF Tone   and    Sequence
Digital
Dual Squelch

System  Features: Check All That Apply:

Autopatch
Closed Autopatch
Emergency Power
Linked
Portable System
Digital / Packet Capability
RACES
ARES
Wide Area
RTTY/ASCII
Direct Access to Police
Weather Net/Usage

Trustee Information: Instructions

Email Address:

Name:

Trustee Call:

Street:

City:

State:

Zip Code:

Day Phone:

Evening Phone:

MARC News / Correspondence: Please send the MARC Newsletter and other
correspondence to me by:
                 E-mail   Yes No
US Postal Service   Yes No

Comments or Questions:

By submitting this form, I certify that I have read and agree to abide by MARC Bylaws, Standards and Procedures; and that the statements above are true, complete and correct to the best of my knowledge and belief.
I understand that if granted a coordination I have six months to have the repeater operational to coordinated specifications, or contact the coordinator for an extension. I further understand that failure to do so will result in immediate loss of coordination.

Signed:
                  Type your name in the space above.