Central Florida Cypress Chapter

The "Cypress Cities" On-Line Upgrades

This form is to be used for Cypress Cities upgrades only!

First Name
Last Name
Email Address:
Callsign 10-10 #
Check here Exp. Date
if new call!
Cypress # Cities #
Current Pts
Old Banked
Total Ctx

Seals Collected
Seal #1 Seal #2 Seal #3 Seal #4 Seal #5 Seal #6 Visitor WOH
My Seal #s
Old Seals
New Seals
Value X 1 X 1 X 2 X 5 X 10 X 20 X 10 X 20

Points Collected
Points Nets Contest New Members Monthly
Values X2 X50 X10

Upgrade Summary
Points from Seals Points Collected Total Points
New Banked Pts. New On Air Points

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