Kindly print clearly in ALL CAPS, especially your email
address, which, of course, I will publish in lower case.
DON'T FORGET TO PRINT THIS PAGE IN LANDSCAPE FORMAT..
| First Name: | Call Sign: | City, State, Country: | Email Address: |
| FCC Class | Code Speed: | Key Type: | Rig Description: |
| Antenna Type: | Direction: | Height: | Bands: | Power: |
| Antenna Type: | Direction: | Height: | Bands: | Power: |
| Antenna Type: | Direction: | Height: | Bands: | Power: |
| Antenna Type: | Direction: | Height: | Bands: | Power: |
| Antenna Type: | Direction: | Height: | Bands: | Power: |
| Antenna Type: | Direction: | Height: | Bands: | Power: |
| Subscribe Date: | Unsubscribe: |
| Other Interests: |