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The information submitted is to be completed by an individual with current Amateur Radio license privileges. You may request service for yourself, or for your club, if you have been given permission an authority to act on behalf of the club. You will be solely reponsible for any and all correspondence with QSL.NET and will be the account holder of record.

The submitted form must be complete and contain all required information:

Full Name:   or Club Name
Callsign:  or Club Acronym
QTH:
Your E-mail:
Enter your current working e-mail address.
We will then set up an e-mail address using [email protected] (or [email protected] if this is for a club) and this new email address will forward to you at the above at your current e-mail address.
 
Comments:
By submitting this form, I certify that I have read and agree to abide by the QSL.NET Acceptable Use Policy, and that the statements above are true, complete and correct to the best of my knowledge and belief.

Signed:  Your First and Last Name




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