Name______________________________________ Call_________________ 10-10 #_________________ Address__________________________________________________________________________________ City__________________________________________State/Prov_________________________________ Postal Code__________________________________Country_____________________________________
| Continent | Call | 10-10 # |
| Africa | __________________________ | __________________ |
| Asia | __________________________ | __________________ |
| Europe | __________________________ | __________________ |
| North America | __________________________ | __________________ |
| Oceania | __________________________ | __________________ |
| South America | __________________________ | __________________ |
Send To: Robert Camron, AJ5ZX , 7641 Gladiola , San Angelo Tx 76901
email:
AJ5ZX@cox.net
| Received | QSL Cards | Fee | Award # | Certificate Sent |
|---|---|---|---|---|
| _____________ | _____________ | _____________ | _____________ | _____________ |
updated 09-20-2005
Go to WAC Instructions