MOBILE AMATEUR RADIO AWARDS CLUB

39260 Last County Applications
Have been sent using this page since 1/1/2002

 
   
       
       
       
     
 

The Last County
on-line Application Form
Screen 1 of 3
(Instructions Here)
   
   
     
 

Complimentary Dart  Board

  
   
   
     
 
Personal Data

Box 1
Your Call

Box 2
Paid by Call

Box 3
Email Address

Box 4
Phone Number


Box 5
Award Number
(This Session)

Box 6
Number of Awards
(This Session)

Box 7
Check Number

Box 8
Check Amount

Contact Data

Box 9
Award Toward

Box 10
Band

Box 11
Mode

Box 12
You Were

Box 13
He/She Was

Box 14
To Call

Box 15
State

Press To
Load Counties

Box 16
County

Box 17
Contact Date
mm/dd/yy

Box 18
Band & Mode Endorsement

Box 19
Other Endorsement


Box 20
Award Type

Box 21
LC2 Plaque

Box 22
LC-2 Engraving


Box 23
Note to the Awards Manager
(50 Character Limit - one line only)


IMPORTANT: Place your Callsign and Reason on your payment
(examples: ab9ziz for LC plaque to kw7cvb .. or .. zz0wdk for bingo plaque)

Make Check or Money Order payable to:


MARAC Awards

Send to:

Bill Morgan, K0DEQ
12012 County Road 3000
Rolla, MO 65401

or

 



Instructions - Back
Box 1 - Back In this box, put in the call of the person giving the award
Box 2 - Back Normally, this is the same as the 'From Call'
If you are an 'Awards Manager' for someone
Enter your call
Box 3 - Back You MUST enter your Email Address here!
Box 4 - Back Please enter your Phone Number here
If I have a problem with your application, I will call you
Use the format '1-000-000-0000'
Box 5 - Back In this box, put in the Award Number
This number will be incremented automatically
Note: If you make a mistake on any previous award
Simply reenter that award using it's ORIGINAL NUMBER!
Box 6 - Back In this box, put in the
NUMBER OF AWARDS being entered THIS SESSION!
Box 7 - Back If you have put a 'Check in the mail',
Enter the Check Number here
Else, if you have money 'On Account' - Enter '0'
Box 8 - Back If you have put a 'Check in the mail',
Enter the Check Amount here
Else, if you have money 'On Account' - Enter '0'
Box 9 - Back In this box, select what this award is toward
Box 10 - Back Select the 'Band' of operation
Box 11 - Back Select the 'Mode' of operation
Box 12 - Back Select your operation
Box 13 - Back Select the 'To Call' operation
Box 14 - Back Put the recepient of the Award in this box
Box 15 - Back Select the State and then press 'Load Counties'
Box 16 - Back After you have pressed 'Load Counties'
Select the County
Box 17 - Back In this box, put the Date of the Contact
Be sure to use the format - mm/dd/yy
Box 18 - Back Select 1 of 4 Band/Mode Endorsements
Box 19 - Back Use this box to enter any other endorsement - like 'No Relays'
Note: 20 Characters is the Limit!
Box 20 - Back In this box:
Select LC-1 if it is your 'Last In A State'
Select LC-2 for the 'Last For The Whole of Wax'
Box 21 - Back When someone gives your last, most CH'ers will order a plaque for that person
The Plaque (and Certificate) costs $20
The Email notification is free
The cost is the same for both MARAC members and non-members
Box 22 - Back When you give a LC-2 plaque to the person who gave you the 3077th County
It is Customary to add you personal note on the plaque
Most say: 'TNX For The Number 3077 For 2nd Time' (or whatever)
However, you might say: 'TNX Frank For Going The Extra Mile'
Note: 40 Characters is the Limit!
Box 23 - Back If you want to sent a note to the Awards Manager - do it here
Note: 50 Characters is the Limit!