BUNDABERG AMATEUR RADIO CLUB: CLAIM FOR VHF/UHF DISTANCE RECORD
For Club Member Use Only
We want to make claiming a record as simple as possible but the following details should be provided so the committee can calculate an accurate distance;
CATEGORY you are entering ? (Home/Portable, Mobile, Handheld, ATV, Digital Mode, EME)
IF it's a 6 Metre Contact - Short or Long Path?
CONTACT: Date and Time ?
HOW MANY Kilometres are you claiming? ............................ (committee will attempt to verify this by coordinates, google earth etc)
STATION 1 Callsign: Location: (physical location e.g. The Hummock) If known, please include the: Latitude & Longitude |
STATION 2 Callsign: Location: (physical location e.g. Bucca Pub) If known, please include the: Latitude & Longitude |
Frequency:
Mode:
Any other Details relating to this Claim:
Operator's Name:
Postal Address:
Email address:
DECLARATION:
I hereby claim a new VHF-UHF Record for the contact described above. I declare that:
(a) To the best of my knowledge, the details given above are true and correct.
(b) At the time of the contact I was operating my station in accordance with the competition rules.
(c) I have read the Club's record claim conditions, and agree to accept the Committee's ruling on this
claim as final.
Signed:
Date:
To claim a record the above information must be supplied and emailed to BARC: 
And we know you can't 'sign' an email but we're asking for your word as gentlemen (and gentlewomen) that it's a legitimate claim, so just print your name.