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The Amateur Radio Lighthouse Society (ARLHS) is the proud sponsor of the ARLHS Activator Award. Your signature on this application form confirms your reading, understanding and abiding by the ARLHS General Rules and Awards Requirements for this award. In the stations worked column please list two (2) stations that you worked from this lighthouse. For the ARLHS official list of lights and their ARLHS numbers, please see the "ARLHS Lighthouse Numbers" list.
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No.
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Call Used
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Lighthouse Name
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Stations Worked |
Date
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ARLHS
LH # |
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1
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2
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3
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4
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5
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6
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7
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8
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9
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10
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Name (printed) _______________________________________ Call Sign ______________
Address __________________________________________________________________
City ________________________________ State/Country _______________ Zip _______
E-mail ____________________________________ ARLHS Membership Number _______
Signature ____________________________________________ Date _________________
Enclose fees for certificate (US $2.00 for members; $5.00 for non-members) or endorsements ($2.00 each for USA applicants; $3.00 for DX).
Mail to: Award Manager: John Burnette, KF4ZLO, 2816 Timber Hills Rd, Louisville, KY 40214