2025 CACTUS Special Event Certificate Request Log Sheet

WE REQUEST A DONATION OF $5.00, CASH, CHECK OR MONEY ORDER, MADE PAYABLE TO: RADIO SOCIETY OF TUCSON

AFTER FILLING IN THE FORM, IT AND SEND YOUR REQUEST TO:

 Radio Society of Tucson, Inc. PO Box 13603, Tucson AZ 85732-3603

Station

DATE

UTC

F MHz
BAND

RS(T)

MODE

C - K7C

A - K7A

C - N7C

T - K7T

U - K7U

S - K7S

K7RST

AK7AZ

Achievement

Clean Sweep Shortwave Listener

Endorsements

All QRP All CW All Mobile All Digital

                                

CALL SIGN:

NAME:

ADDRESS:

CITY:

ST/PROVINCE

ZIP CODE

COMMENT or ?<enter>

2025-09-29 v1.4