Route 66 On The Air 
10th Anniversary
September 12th - 20th, 2009
Certificate
NOTICE: Any station other than those shown on the current Route 66 On the Air Certificate Application are not authorized Route 66 On the Air stations and will not be recognized for Certificate purposes.
Click on the image for a larger view
This certificate is available if at least ONE special event station or a mobile station signing "mobile 66" or "/m66" is worked!
This certificate will be endorsed for:
Each special event station worked (18 special event stations and 1 mobile
station all together) for a total of 19 stations
Working at least one (1) "mobile 66" station (any station operating on
Route 66 and signing "mobile 66" or "/m66" after their call
sign)
Working at least one (1) special event club local VHF/UHF repeater
The operating modes used (up to (4) modes; CW, Phone, Digital, and Mobile)
If you would like a certificate, please send $4.00 (cash, check, or money order)
Payable to:
"C-Bar-C" or "Citrus Belt Amateur Radio Club"
NOTE: US funds ONLY ...Out of Country DX stations may send 4 IRC's,
sent along with the official application form from this web site to:
CITRUS BELT AMATEUR RADIO CLUB
PO BOX 3788
SAN BERNARDINO, CA 92413
Please write "ROUTE 66 CERTIFICATE REQUEST" on the front of the envelope, allow several weeks to process your application.
Certificate envelopes and postage are provided by the Citrus Belt Amateur Radio Club.
To download and print an application please select the link below:
This form requires adobe acrobat reader available by clicking here for free.
Due to errors discovered on the application a "new" corrected version has been released. You may need to refresh this page prior to downloading the new application. If one of the participating event stations was signing as a "mobile" station and you you would like credit for that station as a mobile please denote this in the margin of the application or on the back of the application before sending it in. Thank you!
Adobe PDF Application Please fill in ALL required fields before printing.
Online application submittals are not supported. All applications will need to be printed and then sent to the event host by US mail.