Worked All Counties Application Form

  • Fill out the form in order and completely.

  • Move the cursor to the next entry field by using the mouse or using the TAB key.  Do NOT use the ENTER key (it will submit a partial form).

  • The MARAC Worked All USA Counties Awards are issued for making contacts with all USA Counties multiple times.

  • This electronic filing of the Last County Award application does not include payment.  The Award will not be sent out until the funds for the award have been received by the Awards Manager.

Use this application form for the following awards:
MARAC Worked All Counties 2nd, 3rd, Xtime, Bingo I, II, II, Big Rig, etc.

Please note: This application requires that a computer or hand written log be submitted to the Awards Secretary before your number will be issued. Please mail or email l your log to the Awards Manager at the address below or simply cut and paste your log data in the text box at the bottom of the submission form.

 

Callsign:
Name:
Marac Membership Number:
E-mail Address:
Required
Confirm E-mail Address:
Required
Date of Last Contact:
MM/DD/YYYY
Callsign of Last Contact:
Do not forget to fill a LC-2
for the Above Callsign. 		 
   
Award Applied For:
Mode and Band Endorsements:
 
Mode:
Enter Band:
Other Endorsements:
   
Payment Information:  
Check or Money Order Number:
Amount of Check or Money Order:
Plaque?
Cost of Award:
(Click Here for Award Fees)  

This Box is for your Log Data which you may paste in TEXT format.  Or you may mail or email marac.awards(at)gmail.com your log data with your award payment. Or you may use this box for any other special instructions or comments for the Awards Chairman.

REMEMBER:  After you have submitted the on-line form (s), you must mail a Check or Money Order to the MARAC Awards Secretary before the awards can be processed and sent.

Make all Checks or money orders payable to:

Mobile Amateur Radio Awards Club

AB7RW
Phil Yasson
13208 NE 5th Avenue
Vancouver, WA  98685-2679
awards(at)marac.org

DO NOT SEND CASH - IT WILL BE RETURNED!

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