Continental Quack Command Application
Fill the form below and we will put you into our archive. Be sure to join also the general newsletter list.
1.	Your Name: *
2.	Your E-mail Address: *
3.	Your mailing address *
4.	Tell us about any medical training and experience you have -- particularly in Homeopathy: *
5.	Tell us about any military training and experience you have: *
6.	Do you have any special skills? Any flight or mechanic ratings? Retired police? Retired fireman? *
7.	Tell us about all radio transmitters and receivers available to you right now. AM/FM radio? Shortwave receiver in the house? Old CB radios? FRS/GMRS talkies? HAM? Are you a HAM operator? What's your callsign and equipment? *
8.	Tell us about your residential lifestyle. Do you live in a home? An apartment? On a ranch? In tract housing? About how many residents exist around you packed into the area the size of a football field? *
9.	Think carefully on this one and like a pilot: Where is the nearest emergency helo landing zone to your residence that is around 50 feet x 50 feet square? A major intersection? A park nearby? Are there any special considerations for an aircrew such as overhead power lines? Trees? How far is that LZ from your home in terms of walking minutes? *
10.	What is the name of your nearest police station and how far are they in walking minutes from your residence? *
11.	Where is your nearest hospital and how far are they from you in walking minutes? *
12.	Where is your nearest suitable site for an emergency hospital facility and how far is that from you in walking minutes? A school gym? A hangar? A barn? Something with a roof and floor space at least. *
13.	Presuming all city water supplies are cut off tomorrow, where is your nearest freshwater supply and how far is that from you in walking minutes? *