Application form for awards CORA and WACORA.

CORA - all Russian cities at your home!

The Title (the first) page of the application for the award CORA (Cities Of Russia Award)

                                          Page 1 of ________ pages

                             THE APPLICATION

               for the award "CORA - _______"

Issue me the award "CORA-_________" for QSOs

at the band _____1.8  ____3.6  ____7  ____10  ____14  ____18  ____21

             _____24   ____28   UHF______ MHz   ____on any bands

with the mode   ___CW  ____Phone  ____SSTV  ____RTTY   ____PSK31

                ___MIXED MODES

through satillite   _____yes (mark here if yes)

with the power   _____Watts    _____Watts QRP    _____Watts QRPp

My callsign, ________________________________________________________

Family (Last) name, name______________________________________________

Address:______________________________________________________________

______________________________________________________________________

E-mail:                    (All your personal data only for contacts

conserning the Award and could not be passed to any third party)

The payment for the award is done.

I have read and fully agree with the terms of award CORA issue

_______________________________	        ____________________

Signature, Call 				    Date

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The Declaration

We have checked all QSLs for the award and confirm its complete set

and confirm its  full adequacy to the data in the Application.

_________________________     ______________	 	_______

Signature				Call	 	        Date

_________________________     ______________	 	_______

Signature			        Call	 	        Date

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NOTES:
1. Read the terms for awards CORA and WACORA carefully.
2. Fill in the application form. Mark the appropriate places for the award you apply for.
3. Contacts in the Application form must be in the ascending order of CORA numbers.

The award manager address is: Arkady ERBAEV - RZ0SB, P.O.Box 1224, Irkutsk, 664033, Russia

                           * * *

Next pages of the Application form must contain the following:

QSOs containg the contatcts with the following cities of Russia for CORA-_______

Callsign ____________                  Page____ of_____ pages

Number	# CORA	Name of the city	Date	Band	Mode	Call

                              * * *

RK0SYY

RK0SYY is a club station created by Irkutsk Award Group.
The station is on a coast of lake Baikal in Listvyanka village.
The team of the station carry out various expeditions over lake Baikal, visiting islands, and working from other places around Baikal lake.

You can also take part in the work of the station and expeditions.

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