ARRL Special Events Application Form Note: Submissions must be received by ARRL HQ no later than the 1st of the second month preceding the publication date; ie, a Special Event listing for Jan QST would have to be received by Nov 1. Send this completed form to: ARRL Email: events@arrl.org c/o Maty Weinberg Fax: 860-594-0259 225 Main Street (ARRL HQ, Attn: Special Events) Newington, CT 06111 Town: ___________________________________________ State: _______________________ Sponsoring club or Organization: ______________________________________________________________________________ Call sign: ______________ Start Time (UTC): _________ Start Date: ______________ End Time (UTC): _________ End Date: ______________ Short statement of event being commemorated (limit 60 characters): ______________________________________________________________________________ Four main (exact) frequencies (in MHz) to be used: (Note: expect to be within 20 kHz of these frequencies.) _________________ _________________ __________________ __________________ Stations contacted may request a (check one): Certificate _______ QSL _______ Name and address to QSL to: ______________________________________________________ ______________________________________________________ ______________________________________________________ Name, phone number and e-mail address of contact person: ______________________________________________________________________________ Note: Because of QST page space limitations, we can carry only the Special Event information as listed above as a free service to our members. If you wish to have additional information listed in QST, we suggest a Ham Ad. Ham Ads can carry information on your Special Event at a cost of only $1.00 a word, with a 100 word limit, and will be published under the "Operating Activities" subheading. Copy for such Ham Ads must be received at ARRL HQ no later than three months before the date of your Special Event.