Plaque Registration - YBDXPI - YBLand DXing Passion Is

Callsign

a valid Amateur callsign

Name

Full Name

Handphone/WhatsApps

please select the flag according to your country

Email Address

Shipping Address

Plaque

Attach the Award

Attach the Appropriate YBDXPI Award

Attach the Award 2

Attach the Appropriate YBDXPI Award

Attach the Award 3

Attach the Appropriate YBDXPI Award

Attach the Award 4

Attach the Appropriate YBDXPI Award

Attach the Award 5

Attach the Appropriate YBDXPI Award

Confirmation

I agree with the collection / storage of my entered data and IP for contact

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