Worked All Call Areas - Lighthouse Award (WACA-LH)

Application Form

(Back to Award Rules)

The Amateur Radio Lighthouse Society (ARLHS) is the proud sponsor of the Worked All Call Areas - Lighthouse Award. Your signature on this application form confirms your reading, understanding and abiding by the ARLHS General Rules and Awards Requirements for this award. For the ARLHS official list of lights and their ARLHS numbers, please see the "ARLHS Lighthouse Numbers" list.

 

Call Area
State
Call
Lighthouse Name
Date
ARLHS
LH #
1
         
2
         
3
         
4
         
5
         
6
         
7
         
8
         
9
         
0
         

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