Application for DX Grant SWODXA only provides funding for those DXPeditions activating Top 50 Wanted entities based on Clublog.org. Funding is conditional based on the application received. PLEASE FILL IN ALL INFORMATION Application Specific InstructionsDate of Application *Applicant's Name *Applicant's Callsign *Applicant's Address *Applicant's Phone Number Applicant's email address *Stateside Contact Information for Sending Funds *PayPal Information Proposed DXpedition InformationProposed DX Entity *Current Clublog International Standing? *DXpedition Start Date *DXpedition End Date *DXpedition Callsign (If Known) Have All Permissions Been Granted? (If Yes, Upload Copies) *YesNoNumber of Stations on the Air? *Highest Powered Station in Watts? *Will LOTW be Used? *YesNoWill Clublog be Used? *YesNoPlease List Team Members and their DX Experience *Has Your Expedition Received any Financial or Equipment From Corporate Sponsors and/or Equipment Manufacturers? If so, please list: Upload Supporting Documents VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>: