| Your Name? |
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| Your Call?
* |
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| 10X#?
* |
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| Portland Bridge number?
* |
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| Total Contacts? Omit if you hold St Johns |
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| Please list Conventions you have attended? |
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| Previous Points Collected? |
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| New Points Collected?
* |
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| Total Points Collected? |
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| Previous WAS numbers Collected? |
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| New WAS numbers Collected? |
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| Previous Convention numbers Collected? |
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| New Convention numbers Collected? |
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| Previous Bridge Tenders Collected? |
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| New Bridge Tenders Worked - List Call? |
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| Previous PSK31 numbers Collected? |
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| New PSK31 Worked - List Call and number? |
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| Your E-Mail Address?
* |
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