Order Your QCWA QSLs Here
Call _________________________________ [ ] Solid [ ] Shadowed

Name ______________________________________ QCWA # _________

Street/PO __________________________________________________

County(optional) ___________________________________________

City _______________________________________________________

State _________________________ [ ] Spell out [ ] Abbreviate

Zip __________________________________________ [ ] ARRL Logo

Province.Country (if not USA) ______________________________

[ ] 10-10 # _________________  [  ] Grid Sq. ________________

Quantity           [ ]  100 $25.00           [ ]  200 $35.00
[ ]  300 $45.00    [ ]  500 $60.00           [ ] 1000 $90.00
Complete in full and mail with your check to:

Quarter Century Wireless Association, Inc.
General Manager - Chuck Walbridge, K1IGD
Post Office Box 3247
Framingham, MA 01705-3247

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