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Print this page, fill in all information
possible and mail or fax to Atlas! The applicant named above gives Atlas License
Company authority to submit applications for coordination on
its behalf. The applicant also grants permission for Atlas to obtain a
password from the FCC for purposes of electronic filing processes pertaining to
this license application. The applicant further understands the frequency
coordinator will provide coordination services and forward the application to
the FCC and confirms the information given to Atlas, and answers to questions on
the FCC Form 601 has been provided accurately and honestly. Services
are provided on the condition that liability is limited to reapplying for
the license needed, attaining the best possible replacement of license lost in
part or whole, and not exceeding the total paid value of Atlas’
services.
Fee Calculation
Payment Method
Credit card users acknowledge authorization of services in the amount shown above and agree to perform the obligations set forth in the Cardholder's agreement with the issuer.
Please check one of the following: Cardholder is associated with the [ ] Radio Dealer or [ ] License Applicant. Our office requires this form to complete the processing of your FCC license application.
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