Worked All New York Counties Award Application
Sponsored by the RZS Solutions, Inc. Amateur Radio Club W2RZS
Name______________________________ Call Sign_______________ Date______________
E-mail Address ________________________________________________________________
Mailing Address _______________________________________________________________
City _______________________ State_______ Zip ___________ Country________________
I certify that all of the information submitted for the Worked All New York Counties Award is correct. I acknowledge that the WANYC award manager reserves the right to verify any claimed QSOs validity from the station claimed for credit.
Signed ____________________________________________ Call Sign ________________
Complete the Worked All New York Counties Award Application, and mail with $5.00 (cash or USPS money order) or 5 valid IRCs to:
Robert S. Schaps, WB2NVR
RZS Amateur Radio Club
37 Saw Mill River Road
Hawthorne, NY 10532-1552
U. S. A.