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Get ARRL DXCC Challenge Plaque / Lapel Pin Order Form 2014-2024

Thank you for your support and continued interest in the DXCC Program. PLEASE CLEARLY PRINT NAME AND CALLSIGN AS YOU WANT THEM TO APPEAR ON THE PLAQUE AND YOUR COMPLETE MAILING ADDRESS BELOW Callsign Name as to appear on plaque Address City State Postal Code Country E-mail Address Telephone I qualify for THE DXCC Challenge Plaque. DXCC Challenge Plaque / Lapel Pin Order Form The American Radio Relay League 225 Main Street Newington Connecticut USA 06111 Phone 860-594-0200 Fax 860-594-0346 E-mail dvoigt arrl.org Congratulations Now that you have qualified for the DXCC Challenge you can proudly display this accomplishment on your shack wall. To order the plaque please complete and return this form to the DXCC Desk at the address above. You can also order by phone fax or e-mail* Please allow 4-6 weeks for delivery in the US and Canada and 6-8 weeks for foreign delivery. Please send me Challenge Plaque USA - 97 // Canada - 110. 00 // Other non-USA - 124. 00 All shipping included Plaque includes 1000 level medallion Shipped by FedEx Lapel Pin 10. 50 Includes shipping Endorsement Medallion 10. 50 US / 15. 00 foreign includes shipping 1500 2000 2500 3000 Endorsement Medallion 15. 00 plus shipping I enclose Check Money Order Cash Credit Card for the amount of Master Card incl* EuroCard VISA Discover AMEX Other please specify Account/Card Expiration Date. Unless otherwise specified we ship Fedex in the US and Registered mail elsewhere. Please make checks payable to American Radio Relay League. USA bank only. Do not send cash. ARRL is not responsible for cash sent by mail* ARRL is NOT responsible for plaques lost in shipment that are not sent via a traceable method such as Registered Mail Fedex DHL or UPS. Please send me Challenge Plaque USA - 97 // Canada - 110. 00 // Other non-USA - 124. 00 All shipping included Plaque includes 1000 level medallion Shipped by FedEx Lapel Pin 10. 50 Includes shipping Endorsement Medallion 10. 50 US / 15. 00 foreign includes shipping 1500 2000 2500 3000 Endorsement Medallion 15. 50 Includes shipping Endorsement Medallion 10. 50 US / 15. 00 foreign includes shipping 1500 2000 2500 3000 Endorsement Medallion 15. 00 plus shipping I enclose Check Money Order Cash Credit Card for the amount of Master Card incl* EuroCard VISA Discover AMEX Other please specify Account/Card Expiration Date. 00 plus shipping I enclose Check Money Order Cash Credit Card for the amount of Master Card incl* EuroCard VISA Discover AMEX Other please specify Account/Card Expiration Date. Unless otherwise specified we ship Fedex in the US and Registered mail elsewhere. Please make checks payable to American Radio Relay League. Unless otherwise specified we ship Fedex in the US and Registered mail elsewhere. Please make checks payable to American Radio Relay League. USA bank only. Do not send cash. ARRL is not responsible for cash sent by mail* ARRL is NOT responsible for plaques lost in shipment that are not sent via a traceable method such as Registered Mail Fedex DHL or UPS.

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