30 Meter Digital Group
Established November 2007
UTC
(30MDG)
Re-Application Form
Please use this form ONLY if you wish to re-apply for a Membership or Award Certificate in the event of lose or damage
Please note:  ALL boxes must be answered!
30MDG Cert. Re-application Form
Questions marked by * are required.
1. * Callsign (SWL) *
2. * Name: *
3. * Email: *
4. * Certificate Name (ie: DX 50) 1 per line *
5. * Reason for re- application *