10-10 Digital Award Application

Please print your Name: 							 Call: 					

Address: 									 Ten-Ten #: 				

City: 								 State or Country: 					

Postal Zip Code: 				 E-mail Address: 							

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Mail Application To:

Mel Sojka, KD5DE #33513
353 Atlantic Ave.
Shreveport, LA 71105-2909
E-mail: kd5de@nwla.com
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