Sponsorship request form

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Expedition callsign *
Applicant s callsign *
Applicant mailing adress		Name and full postal adress
Applicant email *
Starting date *		dd/mm/yyyy
Ending date *		dd/mm/yyyy
Entity *		DXCC or IOTA reference
Have you obtained your licence yet ?	Yes No
Bands of operation	160 80 40 30 20 17 15 12 10 6
Modes of operation	CW SSB RTTY
QSL manager callsign *
QSL manager mailing adress		Name and full postal adress of the QSL manager
QSL manager email *
Will the full log be uploaded on LotW	YesNo	Max 12 monthes after the expedition
Will you answer bureau QSL cards ?	Yes No
Team members *
Radio equipment to be used
Objectives, special considerations...
Type displayed characters		Antispam