Clipperton DX Club Support request form

Your callsign (needed field)

Your postal address (needed field)

Your email (needed field)

Callsign of the Expedition (needed field)

Date of the beginning of the operation ( dd/mm/yyyy )

Date of the end of the expedition ( dd/mm/yyyy )

Bands used (needed field)

160m80m60m40m30m20m17m15m12m10m6mVHFSAT

Modes used (needed field)

SSBCWDIGI

Callsign of the QSL Manager (needed field)

Postal Address of the QSL Manager (needed field)

Does the QSL will be available via bureau (free of charge) ?

OUINON

Does the Log will be uploaded on LOTW (free of charge) ?

YES, during the operationYES, after the operationNO

List of the team members (needed field)

Equipment

Aim of the trip, additional informations

Copy the text below :

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