Indiana Wing, Civil Air Patrol

**Request for Corporate Communications Equipment**

## Applicant Information

  ---------- ------ ------- ---- -------- ---- -------- ------------ ----- ------ ----- -- -- --------- ------- -- -----
  Last Name:                     First                                            MI:         Suffix:              
                                 Name:                                                                             

  Grade             CAP ID                              Membership                                                 
                    No:                                 Renewal                                                    
                                                        Month:                                                     

  Address:                                                                                                         

  City:                                        State:                      Zip:                         Ext.:      
  ---------- ------ ------- ---- -------- ---- -------- ------------ ----- ------ ----- -- -- --------- ------- -- -----

## Unit Information

  -------- -------------------------------------- ----------- ------------
  Unit                                            Charter     glr-in-
  Name:                                           Number:     

  -------- -------------------------------------- ----------- ------------

Equipment Requested

  ------------------------------------------------------------ -- ----------------------------
  **[Description of Equipment Requested]{.underline}**            **[Quantity]{.underline}**

                                                                  

  HF-SSB Transceiver                                              1

  VHF-FM Base / Mobile Transceiver                                1

  VHF-FM Portable Transceiver                                     1

  VHF-FM ISR Transmitter                                          
  ------------------------------------------------------------ -- ----------------------------

HF-SSB and VHF-FM **[MUST]{.underline}** be on separate forms due to
differences in issue priority

Equipment issued for particular individuals use will be issued to the
unit. All property must be accounted for on CAP Form 37E

+--------------------------------+---+--------------------------------+
| # Approvals                    |   |                                |
+--------------------------------+---+--------------------------------+
|                                |   |                                |
+--------------------------------+---+--------------------------------+
| **Requester's Signature and    |   | **Unit Communications          |
| Date**                         |   | Officer's Signature and Date** |
+--------------------------------+---+--------------------------------+
|                                |   |                                |
+--------------------------------+---+--------------------------------+
| **Unit Logistics Officer       |   | **Unit Commanders Signature    |
| Signature and Date**           |   | and Date**                     |
+--------------------------------+---+--------------------------------+

  ---------------------------------------------- ------------------------
  Date Received by Indiana Director of           
  Communications:                                

                                                 

  Date Equipment Issued:                         
  ---------------------------------------------- ------------------------

+----+-----+----+-----------------------------------------------------+
| #  | F   | ** |                                                     |
| ## | orm | 37 |                                                     |
|  I |     | ** |                                                     |
| N  |     |    |                                                     |
| WG |     |    |                                                     |
+----+-----+----+-----------------------------------------------------+
|    | J   |    |                                                     |
|    | uly |    |                                                     |
|    | 2   |    |                                                     |
|    | 001 |    |                                                     |
+----+-----+----+-----------------------------------------------------+