FAA Registration Form

FAA
Aviation Training Network
and the
Orlando Flight Standards District Office

Use this form to register for this satellite television event
(Teleconference) and Webcast.

(If you experience server problems when submitting this form, please
call 888-820-4898 toll free for further assistance.)

Registration confirmation may take up to 24-48 hours. Satellite coordinates will be emailed to you and your satellite technician (if listed) approximately
5-7 days prior to the listed broadcast date.

Please provide the following contact information: * Denotes required field

Event Information (Multiple selections allowed, hold control
key down during selections)

Events
Date(s)

Need to

Review Event Description? Visit this web site: http://www.dlnets.com/itv.htm#current

Estimated

Live Audience *

Estimated

Videotape Audience * (0-?)

Title/

Position

POC Name

Phone

(Commercial)*

E-mail

Technician's Name

(if different than POC).

Technician's Phone

(if different than POC).

Technician's Email

(if different than POC).

Unit/ Organization

How did you hear about this program?

Address to send support material if any available from sponsor.
(Complete only if first time or new customer):

Street address

Address (cont.)

City

State

Zip Code

Estimated

Viewing Room Capacity

Open

for Community Participation (thru coordination with you)?

Select Viewing Platform

If Military or Federal digital Warrior/GETN satellite site, please complete next two boxes

CDV/ Convergent Site ID

(example: AG-123B or AY-006A)
(ANG sites are requested to use their "B" IRDs if available)

IRD(s)

(Example: 2750320-6)

Additional

Comments: