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I (We) _______________________________________ call sign _____________

(your name)

nominate ________________________________ call sign____________ for an award.

(name of person you're nominating)

______ Hiram Percy Maxim read more information at: http://www.arrl.org/FandES/field/awards/hpm.html

Nomination deadline: March 31

Please complete the following information about the nominee:

Nominees Address___________________________________City______________________________

State___ ZIP______ Day Telephone ( )____________ Email ____________________________

Please include your address:

Address________________________________________City______________________________

State___ ZIP_______ Day Telephone ( )__________Email ______________________________

All nomination forms must be sent to your ARRL Section Manager before March 31.

Section Manager contact information is found at http://www.arrl.org/field/org/smlist.html or page 12, QST. Your Section Manager will forward the nominations to F&ES. ARRL will send details to the nominee about how to compete. Please send questions on these awards to mspencer@arrl.org