Instructions for FCC License Application,
Form 574:
STEP 1:
Determine your Transmitter operating frequency. Your T21 was shipped to you pre-set on Channel E,
7
2.9MHz. If you have not changed the system frequency, write 72.9MHz on the line below.
I
f you have changed the system frequency, look at the frequency-programming label. Look at the
switch settings and read the corresponding frequency. Write that frequency on the line below.
TRANSMITTER FREQUENCY:______________________________
STEP 2:
(A) Make a photocopy of the license application Form 574.
(B) Using a pencil, fill in the photocopied form as follows:
BOX 1: Enter the system frequency from STEP 1, above, on the first line of BOX 1.
BOX 2: Enter "MO" on the first line of BOX 2.
BOX 3: Enter the number of Transmitters you will be using on the top line.
BOX 4: Enter "16K0F3E".
BOX 5: Enter ".018".
BOX 6 - 11: Skip
BOX 12: Enter the number of Transmitters you will be using on the "Portable" line inside BOX 12.
BOX 13: Enter ".2" on the first line. (Area of operation ... is .2 miles radius of station A.) Fill in the next
two lines with the latitude and longitude of your location in degrees and minutes.
Fill in 00" for seconds. A local library can supply this information. For example:
Degrees Minutes Seconds Direction
Latitude 42 27 00 N
Longitude 98 15 00 W
BOX 14: Enter the street address of your facility on line A.
BOX 15: Enter your city on line A.
BOX 16: Enter your county on line A.
BOX 17: Enter the two-letter abbreviation for your state on line A.
BOX 18: Enter the street address, city, state, and telephone number where a person responsible for
system operation may be reached. You must fill this in, even if same information as above.
BOX 19: Skip
BOX 20: Enter "IB".
BOX 21: Enter the legal name of the person, business, or organization applying for the license.
BOX 22: Enter the mailing address to which the license and any further correspondence should be
mailed. Fill it incompletely, even if it is the same as the address above.
BOX 23: Enter the city name for the license mailing address.
BOX 24: Enter the two-letter state abbreviation.
BOX 25: Enter the ZIP Code for the license mailing address.
BOX 26: Enter an "X" in the "NO" Box on the first line.
BOX 27: Skip.
BOX 28: Skip.
BOX 29: Skip.
BOX 30: Enter an "X" in the box that best describes your organization.
BOX 31: Enter "90.75A" in the small box marked "Give Rule
Section" inside of BOX 31. Also enter a short, clear statement that includes a general
explanation of your business or activity and how the Transmitter will be used.
BOX 32: Enter an "X" in the "New Station" box.
BOX 33: Enter an "X" in the "Yes" box.
BOX 34: Enter an "X" in the "No" box.
BOX 35, 36: Skip.
BOX 37: Enter the name and phone number of the person completing this form. Fill this in
completely, even if you are duplicating information.
Page 12
(16 pages)
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