RADIOGRAM

RADIOGRAM

ARRL - The National Association for Amateur Radio
Number (1) *
Precedence (2) *
Choose from the list.
HX (3) *

HX-A, Collect landline delivery authorized by addressee within X miles. HX-B, Cancel message if not delivered within X hours of filing time; service originating station. HX-C, Report date and time of delivery (TOD) to originating station. HX-D, Report to originating station the identity of station from which received, plus date and time. Report identity of station to which relayed, plus date and time, or if delivered report date, time and method of delivery. HX-E, Delivering station get reply from addressee, originate message back. HX-F, Hold delivery until...(specific date). HX-G, Delivery by mail or landline toll call not required. If toll or other expense involved, cancel message and service originating station.
Station of Origin (4) *
Choose from list.
Check (5)
Number of words in message
Place of Origin (6)
Time (7)

Hour Minutes

AM/PM Option
Date (8) *

Month Day Year
Date
Message to:
Name (9) *

First Name Last Name
Address (10) *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number (11)
Please enter a valid phone number.
Email (12)
example@example.com
This radio message was received at:
Amateur Station (13) *
Call sign.
Name (14) *

First Name Last Name
Received location (15)
Phone Number (16)
Please enter a valid phone number.
Email (17)
example@example.com
Message:
Type your message here (18)
Maximum of 25 words and/or 150 characters
Received:

The message was successfully received by...
Name (19) *
Person's name that received the message.
Call Sign (20)
Call sign, or other identifier.
Date (21) *

Month Day Year
Date
Hour Minutes
Sent:
Name (22) *
Person's name that sent the message.
Call Sign (23)
Call sign or other identifier.
Date (24) *

Month Day Year
Date
Hour Minutes
* Please Print before you submit for your records.
Should be Empty:

RADIOGRAM

Message to:

This radio message was received at:

Message:

Received:

Sent:

* Please Print before you submit for your records.