Radio Programming Form
Please send your radio for programming to Radio Research Inc. 220 Finley Ave. Staten Island, NY 10306

Model name:

Serial Number:

Channel #

Alias

Receive Frequency

Receive PL Code

Transmit Frequency

Transmit PL Code

Scan List

Priority Channel

Party responsible for radio equipment:

Company:

Contact Name:

Title:

Email:

Phone:

Shipping Address:

Payment info: ___PayPal (email:__________________________) ___ Check ___ Credit Card_____________________Exp. Date__

Notes:

Signature:
Date: