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I (We) ________________________________________ call sign _____________

(your name)

nominate ________________________________ call sign____________ for an award.

(name of person you're nominating)

Please select only one award for each nominee.

Technical Awards - Read more information at: http://www.arrl.org/tis/info/awards.html

Nomination deadline: March 31

___ ARRL Technical Service Award (Shares H/R technical education and achievements with others.)

___ ARRL Technical Innovation Award (Develops & applies new ideas/inventions in H/R activities.)

___ ARRL Microwave Development Award (Contributes to H/R microwave development.)

Please complete the following information about the nominee:

Nominees Address___________________________________City______________________________

State___ ZIP_______ Day Telephone ( )_____________ Email ______________________________

Please include your address:

Your Address________________________________________City______________________________

State___ ZIP_______ Day Telephone ( )____________Email ________________________________

Please send the completed nomination form to Technical Awards, ARRL F&ES, 225 Main Street, Newington, CT 06111 or email it to nfusaro@arrl.org

This form must be received before March 31.