| E-mail Address:
* |
|
| Name (Optional): |
|
| Location
(City/Town, Country): * |
|
| GMT/UTC Time and
Date when VA3ROR heard: * |
|
| Frequency on
which you heard VA3ROR in mega Hertz, for example 28.1905:
* |
|
| Receiver and
Antenna used: * |
|
| Readability (from
1 to 5, 1 being poorest): *.......................................................> |
|
| Signal Strength
(from 1 to 9): *
.............................................................................> |
|
| Tone of CW (from
1 to 9): *
....................................................................................> |
|
| Atmospheric
conditions affecting reception, such as fading: |
|
| Conflict or
interference with other station on same or adjacent frequency,
including identification of the other station(s) if possible: |
|
| Other information
pertinent to reception of VA3ROR: |
|
|
|
|
| *
Required |
|