RADIO AMATEURS of/du CANADA

STATION ACTIVITY REPORT

Please print clearly and send to your Section Manager

To: SM of _________________________Section.   Month of _____________ Year ____________

From: __________________________________________________ Callsign __________________

Major Activity (Tfc, DX, etc.) _________________________________________________________

Appointments  _____________________________________________________________________

Schedules and Net Affiliations  _______________________________________________________

__________________________________________________________________________________

Significant Activities for TCA Reporting: _______________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

Signature: ___________________________________________   Date_________________

IMPORTANT:  Give yourself credit!

See Honour Roll information and reporting criteria at http://www.rac.ca/fieldorg/pshrc.htm

FSD-210-R (10/06)