SHARES HF RADIO PROGRAM MESSAGE FORM 2       Ver 9  
  
 
       
  Confirmation Back To Originator From:  

  Originating
Station:
   Operator Name:   Optional Msg #:   

  ORIGINAL TIME / MONTH / YEAR:  (Zulu)    
   
 

  FROM:  Name: 
  Agency:    City:     

  Telephone:  
  State:  

  TO:  Name: 
  Agency:    City:   

  Telephone:  
  State:      

 
  Return Confirmation DTG: (Zulu)
   (can be overwritten)


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