Field Name · Applicant
Italic names are derived; accent values differ from the applicant’s prior license.
| Applicant Type | B - Amateur Club |
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| Entity Type | L - Licensee or Assignee |
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| Entity Name | GSA COMMUNICATORS GUILD |
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| Attention | EDWARD A FORMAN |
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| First Name / Middle Init / Last Name / Name Suffix | |
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| Street Address | 13323 UNION CHURCH ROAD |
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| Po Box | |
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| Locality | SUMERDUCK |
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| County | Fauquier County |
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| State | VA - Virginia |
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| Postal Code | 227421939 |
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| Zip Location | 38°27'58.8"N 77°42'54.3"W |
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| Maidenhead | FM18dl |
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| FRN | 0004118311 |
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| Geo Region | 4 / VA |
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| Licensee ID/SGIN | L00286565 / 000 |
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| Callsign | KG4JVQ |
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| Last Action Date | 2000-10-28 |
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| Radio Service | HA - Amateur |
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| App Purpose | MD - Modification |
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| App Source | I - Online |
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| App Status | G - Granted |
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| Entered Timestamp | 2000-10-08 |
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| Fee Control Num | 0010088994882142 |
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| Orig Purpose | MD - Modification |
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| Receipt Date | Tue 2000-10-10 |
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| Payment Date | 2000-10-11 |
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| Is From Vec | |
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| Is Trustee | |
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| Operator Group | C - 1x3 |
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| Licensee Class | trustee: E - Amateur Extra |
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| New Seq Callsign | N |
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| Trustee Callsign | W4IN |
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| Trustee Name | FORMAN, EDWARD A |
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| ULS Group / ULS Region | C / 4 |
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| Prev Callsign / Prev Class | |
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| Vanity Relationship | |
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| Vanity Type | F - By List (Club) |
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| Fee Exempt / Waiver | N / N |
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