Wireless Institute of Australia Western Australian Division Our Members are Important People,  without you, Our Organisation has No Purpose ZONE 29 Award - Application Form

Please display on my Award Certificate, if successful, any special endorsement as
applicable to the rules and regulations for the Award. I enclose the required fee.

I declare that my station has been operated within the limitations of my amateur
radio licence for the contacts below.

Name (Please Print) ................................................................. Callsign ..............................

Address ................................................................................................................................

Address ..................................................................................... Post Code ........................

Signature ................................................................ Date of Application ...........................

Name (Please Print) ............................................ Callsign ..........................

Name (Please Print) ............................................. Callsign ..........................

Applications should be addressed to:

ZONE 29 Award Manager
Western Australian Division, Wireless Institute of Australia
PO BOX 10, WEST PERTH, WESTERN AUSTRALIA 6872.

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The WIA exists for all Radio Amateurs, Does it speak for you. Amateurs Unite and Conquer, United we stand, Divided we fall. Designed for 800x600 - This page Updated  1st December 2003 WIA. WA.  Post Office Box 10, West Perth, Western Australia, 6872.   Email: [email protected]  | http://www.wia.org.au/vk6 Please send any Broken links / Corrections / Suggestions to   [email protected]

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