6. EDXP RECEPTION REPORT FORM

Here is a special ON-LINE Reception Report Form template.
All you need to do is to fill in the details, press the Submit Button, and the details will be sent automatically to EDXP in Melbourne!

Check the type of E-QSL you would prefer!
  musical E-QSL animated E-QSL regular E-QSL
Your full name:


Your email address: (e.g.: you@aol.com)


Your postal address (with street number, suburb/town, state/province, ZIP/postal code, country)


Date of reception (UTC) Frequency of reception (kHz) Time of reception (UTC)

Your receiver

Your antenna

Over which station did you hear the EDXP News Report? Check one of these!  
whra kwhr hcjb rki whri

Please give brief details of the program you heard


What was the overall reception quality? Check one of these!  
excellent good poor

Please give details of interfering stations (if any) and their frequencies



Please let us know what you thought of the program!


How did you find out about our EDXP News Reports?

Please let us know something about yourself!

Are you a recipient of the EDXP Newsletter? yes no

If you are not an EDXP recipient, check this button and a sample copy will be E-mailed to you, and you will be included on the EDXP E-NET distribution list for a trial period
Yes, please send this to me!

If you make a mistake when entering any of the details, please press the RESET button to clear the form and start again! When you have finished entering all of your information, press the SUBMIT button and your details will be transferred instantaneously to EDXP in Melbourne. Your E-QSL will be sent to you usually within two days.

Check here if you would like an alligator sent to you

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