DXpedition support request

Your callsign *

Your name and surname *

Your postal address *

Your email (important!) *

Callsign of the DXpedition *

DXCC Country of the DXpedition (and/or IOTA reference) *

DXpedition start date *

DXpedition end date *

DXpedition website

Dxpedition Facebook page

Do you have the license and all access permissions? *

World Most Wanted Ranking (ClubLog) *

Europe Most Wanted Ranking (ClubLog) *

Bands used *
160m80m60m40m30m20m17m15m12m10m6mVHFSAT

Modes used *
SSBCWRTTYFT4FT8Other

Target (number of QSOs)

Target (percentage of human modes)

List of operators and their DXpedition history (one operator per line) *

Team leader *

Novice operators

Operators who are members of the Clipperton DX Club

Transceivers planned *

Amplifiers planned *

Antennas planned *

Other equipment or remarks

QSL manager callsign and postal address *

QSL manager email address *

Online log during the expedition (e.g., Club Log) *
NoYes, in real timeYes, dailyYes, from time to time

Log on LoTW *
NoYes, during the expeditionYes, when the expedition is overYes, when the QSL service is openYes, after a maximum of 6 monthsYes, beyong 6 months

Free LoTW *
YesNo

Amount requested for LoTW (if you answered no to the previous question)

Use of OQRS (ClubLog) *
YesNo

Amount requested for direct QSL via OQRS

Amount requested for a direct QSL sent with SAE to the QSL manager

QSL via bureau *
YesNo

Free QSL bureau *
YesNo

Amount requested for a QSL bureau via OQRS (if you answered NO to the previous question)

Flight and transit cost *

Boat charter cost (enter 0 if no boat is used) *

Equipment transport cost (excess baggage, etc.) *

Specific radio budget (purchase or rental of equipment, energy, QSL printing, etc.) *

Total budget of the DXpedition *

Amount paid by the operators *

Estimated profit generated by QSLs *

Bank account for payment of the CDXC grant (account holder, bank name, account number, IBAN, BIC/SWIFT etc.)

PayPal account for payment of the CDXC grant (email address)

I have read and fully accept the CDXC Sponsorhip conditions *
Yes

The CDXC logo will appear on the QSL card *
YesNo

The CDXC logo will appear on your website or Facebook page *
YesNo

A group photo with the CDXC flag will be sent to the CDXC *
YesNo

Do you already own the CDXC flag? *
YesNo

A report (article in English or French) will be sent to the CDXC within 2 months of the expedition *
YesNo

When will the CDXC be able to announce your expedition to its members? *

Additional information

Please copy the code below

Δ