AARC

As of December 1st the club's service award program has started. If you are an event coordinator or team leader you may use this form or contact Terry or Barb Nixon at thnixon@qis.net for a hard copy. Our contact information is also in the club directory. Please try to be prompt with your information so that we can keep the spreadsheet with the information current. Thanks in advance for all of your help! Terry Nixon (KB3CWQ) & Barb Nixon (KB3LDM)

Name of the Event: *

Date of the Event: *

Please specify the date the event occured

Event Cordinator or Team Leader: *

This is usually the person filling out this form, if you are filling the form out on behalf of the organizer of the event, please fill in using that persons name

Call Sign of Organizer or Team Leader: *

Amount of Hours for event: *

Please specify total event time.

Participant Name, Total Hours of Service, Call Sign: *

Please list all that participated. use this format Name-Hours-Call sign Example Joe Smith-8 hours-ka1aaa Jane Smith-6 hours-ka3aaa etc.

Additional Comments:

Anything else you feel the need to report.

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