Online Request for the award "Baden-Württemberg-Diplom"


Applicant:
Call:             
Name Surname:     
Street:           
Country:          
Postcode:         
City:             
E-Mail:           
Date:             


List of QSOs:

Call: Date: Time: Band: Mode: DOK:
1
2
3
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5
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9
10
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14
15
16
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50
Short description: All QSO since January 1st, 2002 are valid.
DL need 50, EU 35 and DX 20 confirmed (heard) QSOs with the german districts Baden (A) and Württemberg (P) Therein included Z-DOKs counts also.
You must have a minimum of DL 15, EU 10 and DX 5 QSOs from every district.
Until to 5 Special DOks from these districts counts as a joker.

Signing with my call below, I will guarantee for the listed QSO above and that I held the QSLs. The cards were checked by the listed radio amateurs below.

The fee, listed in the award application will be sent to the award manager. You can pay the fee via banque account (EU) or via PayPal (with an additional fee of 1 Euro/US-$. Please ask me for my banque or PayPal account.

The online application is sent by pressing the "Send"-Button: The award will be checked out when the fee is here.

Checked by (Call, Name, eMail) 1:    
Checked by (Call, Name, eMail) 2:    
Mein Call: