W6SFM Bug Roundup Event (CQ BR) Registration Form
Thank you for your interest in the W6SFM Bug Roundup Event! Please fill in the below information to register for the Event. Answers should be given for the location you plan to operate during the event. Be sure to scroll to the bottom of this form to click the Submit button. (* denotes a required field)

PRIVACY NOTICE - INFORMATION COLLECTED ON THIS FORM IS NEVER SHARED PUBLICLY OR WITH ANY OTHER GROUP. W6SFM UNDERSTANDS AND APPRECIATES YOUR RIGHT TO PRIVACY AND PROTECTION FROM EMAIL SPAM.
Email address
Call Sign
Your answer
Name (First, Last name optional)
Your answer
Country
Country (if other was selected above)
Your answer
State/Province
Your answer
City
Your answer
What type and year of Bug key(s) will you be operating?
Your answer
Have you operated in the W6SFM Bug Roundup Event (CQ BR) before?
Comments, Questions or Suggestions for W6SFM (optional)
Your answer
A copy of your responses will be emailed to the address you provided.
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