DXCC Item Order Form


The following are available from the ARRL DXCC Desk. Upon qualification, 
these items may be purchased. Prices subject to change without prior 
notice.

PLAQUES (Includes one engraved plate)* 

__  #1 HR        $60.00 Shipping US $9, Canada $13 Mexico $13 Foreign $28  
__  Honor Roll	 $45.00 shipping US $9, Canada $11 Mexico $16 Foreign $28      
__  5 Band DXCC	 $45.00 shipping US $9, Canada $11 Mexico $16 Foreign $28  
__  Challenge	 $79.00 shipping US $9, Canada $14 Mexico $16 Foreign $28

Please allow 6-8 weeks for delivery in the US and 8-12 weeks for non-US 
orders.   


REPLACEMENT PLATES FOR PLAQUES ($15 plus shipping) 

__ 5 Band DXCC     __#1 Honor Roll	__Honor Roll

ENDORSEMENT PLATES FOR 5 BAND PLAQUES ($10.50 plus shipping)

__ 5 Band DXCC Endorsement Plate(s)  
   (must have 5 band plaque) Band(s): _____________________________
                                                 
LAPEL PINS  (7.00 Each plus shipping)
__ 2 Meter    __ 6 Meter   __ 10 Meter	    __ 12 Meter	   __ 15 Meter	
__ 17 Meter   __ 20 Meter  __ 30 Meter 	    __ 40 Meter	   __ 80 Meter	
__ 160 Meter  __ Mixed	   __ Phone	    __ CW	   __ Satellite
__ RTTY       __ 5BDXCC	   __ #1 Honor Roll __ Honor Roll		

REPLACEMENT CERTIFICATES  ($15.00 Each plus shipping)
__  2 Meter    __ 6 Meter   __ 10 Meter	    __ 12 Meter	   __ 15 Meter	
__  17 Meter   __ 20 Meter  __ 30 Meter     __ 40 Meter	   __ 80 Meter	
__  160 Meter  __ Mixed	    __ Phone	    __ CW	   __ Satellite
__  RTTY       __ 5BDXCC    __ Millennium   __ QRP

DXCC CHALLENGE PINS ($10.50 plus shipping)
__ 1000 Level Challenge     __ 1500 Level Challenge     
__ 2000 Level Challenge     __ 2500 Level Challenge

DXCC CHALLENGE MEDALLIONS ($10.50 plus shipping)
__ 1000 Level Challenge     __ 1500 Level Challenge     
__ 2000 Level Challenge     __ 2500 Level Challenge

__ 3000 Level DXCC CHALLENGE MEDALLIONS ($15 plus shipping)   


__ ARRL DXCC Yearbook  ($7.00 (USA) $11.00 (Non-USA) includes shipping)

Name: _________________________________	 Callsign: ___________________

Address: _____________________________________________________________

______________________________________________________________________ 

Email Address:  ______________________________________________________

Name as it appears on credit card: ___________________________________

___  MasterCard (Including Euro Card)	 ___ VISA	
___  AMEX	___Discover	Other: __________

Card #______________________________________   Exp Date:  _____________

   Fees subject to change without notice
   Make checks payable to ARRL
   All prices are pre-paid
   ARRL not responsible for cash
   Unless otherwise specified, we ship Fedex in the US, 1st Class to 
   Canada and Air Mail Letter Post elsewhere. Registered Fee is $10.80.
*  ARRL is not responsible for plaques lost in shipment that are not 
   sent via a traceable method (such as Registered Mail, Fedex, DHL, or 
   UPS).

		 					                                                                            
                                                            October 2008