Spectrum Resources

Cupertino
California
(408) 996-8223

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Form 601 Preparation
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(408) 996-8223

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Applicant Information

Applicant Taxpayer Id #:	Applicant Existing FCC Registration Number (FRN):
FRN Password:

Applicant Name

If an Individual
First: * MI: Last: * Suffix:

Person who will be signing the application

Title:

Company Name:

Mailing Address:
City:	State:	Zip:
Phone: *	Fax:
E-mail Address: *

Organization Type

If Other describe:

Describe the applicants type of business or activity:

Radio Dealer Information

Contact Person:	Company:
Bill to Applicant Dealer PO Number:

Licensing Data

Type of Application:

If other than new what is the current call sign?

If modification, describe modification:

Will the application be for:
Developmental License, Demonstration License, Special Temporary Authorization, N/A

Frequency band:

If Multiple or other band describe:

Repeater and Mobiles:	Number of frequencies requested:
Total Number of Mobiles:	Output Power:	ERP:
Total Number of Portables:	Output Power:	ERP:
Fixed Station: Repeater Base Repeater/Base	Output Power:	ERP:

Is there a telephone Interconnect? Yes No

Portables and Mobile Applicants May Stop here.

Base and Repeater Transmitter Site Data

Station Address/Geographic Location:

City: County: State:

Latitude:

Longitude:

Datum used to plot coordinates:

Ground Elevation:	Feet Meters
Height of Structure:	Feet Meters
Overall Height to tip (Antenna Height):	Feet Meters

Structure Type:

Is this an existing site? Yes No

If existing, call sign of existing user on this site if known:
Antenna Structure Registration (ASR) If known:
FAA Study Number if Known:

The FCC allows only six fixed sites per license, if you wish to license multiple sites on one license contact Spectrum Resources directly.

Control Point Information

If Control Point is the same as mailing address skip this portion.
Multiple Control Points? Yes, No

For Multiple Control Points contact Spectrum Resources directly.

Control Point Address:
Control Point City:
Control Point County:
Control Point State:	Control Point Phone Number:

* Required