Service Recognition

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)

Please specify the date the event occured

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

Please specify total event time.

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

Anything else you feel the need to report.

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