Long Island Mobile Amateur Radio Club ARRL Special Service Club

school club roundup

School Club Roundup Submission Form

Please enter the following information to complete your submission.

Note: All fields with an asterisk (*) must be completed before submission.

Callsign Used: *
Entry Class: *

Chief control operator, trustee or faculty advisor information
Name: *
Call Sign: *
Address 1: *
Address 2:
City: *
State: *
Country: *
Zipcode: *
Night Telephone: XXX-XXX-XXXX
Email: *

School/Club information
Club Name: *
School Name:
Address 1: *
Address 2:
City: *
State: *
Country: *
Zipcode: *
Day Phone Number: XXX-XXX-XXXX
Fax Number: XXX-XXX-XXXX
Email: *
Send Certificate to: *

Operator Information
Number of Operators: *
Number of Hours: *

Contact Information
Total QSOs: *
By Phone: *
By CW: *
By RTTY: *
By Packet: *
By PSK: *
By Other: *
Specify Other:
Number of US States: *
Number Canadian Provinces/Territories: *
Number of DXCC countries
(excluding Canada, USA, AD, & HI)
Number of Clubs: *
Number of Schools: *

Log Information
Log Format:
Log Format Comments:
Soap Box

radio sport for students, School Club Roundup