Submitter's Name (required; **NO periods or special characters**):
Submitter's E-mail (required):
Callsign Used for Log (required):
Operator Call(s) - (Please use a comma to seperate ops) (required):
Number of Transmitters (required):
Club Full Name (no abbreviations or callsigns) (optional):
The names of any Unlicensed Participant(s), seperated by commas (optional):
The calls of licensed Operator(s) under the age of 25, seperated by commas (optional):
The calls of Elmer(s), seperated by commas (optional):