Hamvention – YLRL

Memorial/Gift Donation Submission Form

Type of Donation (select one)
MEMORIAL
CELEBRATION/CONTRIBUTION

If MEMORIAL, In memory of:

Name:

Call sign, If applicable:

Who should be notified of your memorial.

Name:

Email:

Address:

City:

US States

Zip:

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If Celebration/Contribution, Describe: Please describe

Who should be notified of your celebration/contribution.

Name:

Email:

Address:

City:

US States

Zip:

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Your Information

Name:

Call sign, If applicable:

Email:

Donation Amount: