Use Request: SSTV der PeLiKan
This is a request to use the SSTV der PeLiKan. Approval is required by the FOSSOM Board.
Email address *
Ship Number *
Skipper Last Name *
Skipper First Name *
Point of Contact Name *
Point of Contract Email *
Point of Contact Phone Number *
Start Date *
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Start Time *
Time
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End Date *
MM
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DD
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YYYY
End Time *
Time
:
Purpose of Cruise *
I acknowledge this is only a request, and that FOSSOM will notify me when the request is approved. *
A copy of your responses will be emailed to the address you provided.
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