American Radio Relay League
Incorporated
Hartford, Connecticut
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(Street, City and State.)
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Your Age
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Your Station Call Letters
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Are you a member of any Radio or Wireless Club, and if so give its name and address:
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Length of your Aerial
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Height above ground
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Number of wires in Aerial and space between
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Do you obtain power from Batteries of City Current?
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Do you use a Spark Coil or Transformer?
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What is your Power Input?
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Is your Spark Gap Rotary, Fixed or Quenched?
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What Tone has your Spark?
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Approximate Wave Length
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Give name and addresses of the FIVE most distant stations you communicate with:
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