KTAB TV WeatherCall Manual Order Form
   

Thank you for your intereste in WeatherCall.

Please fill out this form completely.  If you are registering more than ONE LOCATION, please use a separate form for each.  Include a Certified Check or Money Order for $6.95 for EACH location you are registering.  Sorry, we do not accept personal checks.  

Please mail to:

WeatherCall
P.O. Box 472
Parker, CO  80134

You may enter up to 3 telephone numbers and 3 email addresses for each location.  Please print as legibly as possible!


First Name:________________________________________________________________________

Last Name:________________________________________________________________________

Physical Street Address:________________________________________________________________
(No Post Office Boxes, Mail Stops, Rural Routes, Farm-to-Market etc. You must provide a PHYSICAL STREET ADDRESS for our system to locate you)

City:__________________________________________________________________________

State:______________________________________  Zip Code:_________________________



Telephone #1 (Area Code + 7 Digits):_________________________________________

Select Warning types:  Tornado ___   Severe Thunderstorm ____ Flash Flood ___


Telephone #2 (Area Code + 7 Digits):_________________________________________

Select Warning types:  Tornado ___   Severe Thunderstorm ____ Flash Flood ___


Telephone #3 (Area Code + 7 Digits):_________________________________________

Select Warning types:  Tornado ___   Severe Thunderstorm ____ Flash Flood ___


Email Address #1______________________________________________________________

Select Warning types:  Tornado ___   Severe Thunderstorm ____ Flash Flood ___

Email Address #2______________________________________________________________

Select Warning types:  Tornado ___   Severe Thunderstorm ____ Flash Flood ___

Email Address #3______________________________________________________________

Select Warning types:  Tornado ___   Severe Thunderstorm ____ Flash Flood ___



Thank you for subscribing to KTAB TV WeatherCall.