| | Amateur Radio Callsign (i.e., W9IF, WA2TGL-15) |
| | Your 6 letter Maidenhead Gridsquare (i.e., DM13LA) |
| | email address (Optional) |
| | On what band will you participate |
| | What software will you use |
| | Number of antenna elements |
| | Antenna direction in degrees +/- 15 deg. (North=0 deg.) |
| | TX power in WATTS (power out of transmitter, not ERP) |