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RECEPTION REPORT TO BROADCASTING STATION

INFORMATION OF WWW.EWDSYSTEM.NET
STATION
MOBILE
Equipaments :
GPS Garmin Etrex
Scanner VHF/UHF Uniden
Radio Degen 1103
Antenna:
Mobile VHF/UHF
Dipolo whit Bobbin Multi-Band

Name:_______________________________________________________
Address:________________________________________________________
ZIP CODE:_____________________ City of Listen ________________________
STATE:______
RDIO:__________________________________
Antenna:_________________________________ Atmospheric conditions: _________________________
Local topography:___________________________ LAT ______________ LONG_______________

DATE
D/M/Y

TIME
UTC

FREQ
Khz

BAND
M

S
QSA

I
QRM

N
QRN

I hope this report will be found correct and interesting to your


station . Awaiting your VERIFICATION CARD or QSL, whit
anticipated thanks. I send you my best regards to all of your
station staff
Please , send me your latest programme schedule. Thanks 73

P
QSB

O
QRN

MODE
Am/Ssb

Signature
____________________
___/___/___

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