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FEDERALCOMMUNICATIONSCOMMISSION
Approved by OMS
Expires 07/31/93
See FCC Form 506,' page two, for information regarding public burden estimate
Application for Ship Radio Station License
USE THIS FORM TO APPLY FOR A NEW, MODIFIED, OR RENEWAL OF SHIP STATION LICENSE
GENERAL INSTRUCTION AND INFORMATION
While not required, for recreational boaters, if you wish to purchase FCC Rules which contain Part 80, governing the operation of ship radio stations,
CFR 47, (Part 80 to end), contact the Superintendent of Documents, Govern~ ment Printing Office, Washington, DC 20402. You may call (202)
ITEM 3. You must have a United States mailing address. Choose the proper
. this code in the State block. If the license is to be mailed to a different address, attach a request for special mailing.
Mail Applications To:
Mail Applications.Requiring Fees To: Mail Fee Exempt Applications To: Federal Communications Commission Federal Communications Commission
Marine Ship Service | 1270 Fairfield | Road, | |
p.a. Box 358275 |
| Gettysburg, PA | |
Pittsburgh, PA |
|
| |
Instructions For Specific Items
ITEM 2. Enter the legal name of the person or entity applying for the license. If you are an individual doing business in your name, enter your full individual name. Enter last name first, t}1en first name, and middle name last.
If you are an individual doing business as (DBA) a firm or trade name (sole
proprietotship), enter your name in Item 2 and the firm or trade name in the DBA name field.
EXAMPLE: Doe, John Henry
DBA Circle Construction Company
Do not apply in the names of more than one individual, except on behalf of a
legally recognized partnership. If the applicant is a partnership, list the names of all general partners. However, when a large number of partners is involved, list the partner whose address will appear in Item 3 and the others in Item 4. If needed, additional answer space is provided on the reverse of the application. If
you area member of a partnership doing business under a firm or company name, insert the full name of each partner having an interest in the business, and the fi,rm or company trade name in the DBA name field.
Alabama | AL | Michigan |
| MI | Utah | UT |
Alaska | 'AK | Minnesota |
| MN | Vermont | VT |
Arizona | AZ | Mississippi |
| MS | Virginia | VA |
Arkansas | AR | Missouri |
| MO | Wshington | WA |
California | CA | Montan.a |
| MT | WestVirginia | WV |
Colorado | CO | Nebraska |
| NE | , Wisconsin | WI |
Connecticut | CT | Nevada |
| NV | Wyoming | WY |
Delaware | DE | NewHampshireNH | AmericanSamoa | AS | ||
Districtof Columbia DC |
| NJ | BakerIsland | UM | ||
Florida | FL | NewMexico |
| NM | Guam | GU |
Georgia | GA | NewYork |
| NY | HowlandIsland | UM |
Hawaii | HI | NorthCarolina | NC | JarvisIsland | UM | |
Idaho | ID | NorthDakota |
| NO | JohnstonIsland' | UM |
fmls | OhiO- | |||||
Indiana | IN | Oklahoma |
| OK | MidwayIsland | UM |
Iowa | lA | Oregon |
| OR | NavassaIsland | UM |
Kansas | K8 | Pennsylvania |
| PA | NorthernMarianaIs. | MP |
Kentucky | KY | RhodeIsland |
| RI | PalmyraIsland | UM |
, Louisiana' | LA | SouthCarolina | SC | PealeIsland | UM | |
Maine | ME | SouthDakota |
| SO | PuertoRico | PR |
Maryland | MD | Tennessee |
| TN | VirginIslands | VI |
Massachusetts | MA | Texas |
| TX | WakeIsland | UM |
CHECK bNE BOX ONLY
ITEM6.
Regular - If transmitter (s) are to be used on one ship only, complete Items 1
thru 13, if you have checked block" A ", and also Items 14 thru 18 if you have checked block "B".
EXAMPLE:' Doe, John Henry & Doe, Richard Robert
DBA Circle Construction Company
If you are filing as clcorporation, insert the exact name of the corporation as it
appears in the Articles of Incorporation. If an unincorporated association, insert the name of the association as it appears in its Articles of Association or
EXAMPLE: City of Baltimore" MD | State of California |
County of Fairfax, VA | Commonwealth of Pennsylvania |
Portable
Fleet - If several ships will each have transmitters that operate in similar frequency bands and ar~ to be licensed under one authorization, give the number of ships in the fleet including any planne.d expansion during the five year license term. Do not complete Items 7 thru 10. Complete all other applicable Items. Note: You would not be eligible for a fleet license if Item 12is checked "yes", or if Item 14, category A, B, or C is checked.
(Instructions continued on reverse)
FCC 506 Instructions, P"age 1 February 1991
