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Please  fill out this form ONLY IF YOU ARE IN  SUPPORT OF ELECTRONIC QSL CARDS BEING AN  ACCEPTED MEANS OF OBTAINING AWARDS FROM  ARRL

 

 

 

 

Last  Name

 

 

 

 

 

 

First  Name

 

 

 

 

 

 

 

 

M.I.

 

 

 

 

 

 

 

 

Call Sign

 

 

 

 

 

 

A.R.R.L.  member

 

 

 

 

 

 

 

 

 

 

Expiration  date

 

 

 

 

 

 

Member  #  last 4     This  is the last 4 digits of  the  first number on your  QST magazine label the  entire # should have 10  digits

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contact KU4VA

 

 

 

 

 

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