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5 Band WAC Award Application Please print clearly and complete all sections Name ___________________________________________________________________________ Callsign __________________________________ (Name as to appear
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Document Date: 2014-11-21 09:41:00

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Country

United States / /

Currency

USD / /

/

/

MusicGroup

MHz / /

Organization

International Amateur Radio Union / IARU / /

/

Position

manager for verification / awards manager / Manager Verification Signature / /

ProvinceOrState

Connecticut / /

URL

www.arrl.org/wac / http /

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