Activation Form

*Please complete this form a minimum of 10 days prior to activation.(please note that the form can also be printed of and posted) 

* Country / Region

* Event?

	Activation
	Monument Month
	Memorial Month
	ROC 700
	ROC Month
	CASHOTA Weekends
	Heritage Month

* Name of Historical Site?

* Type? 

* Address?

* Postcode:

Please attatch an image of the location to be activated

* Brief History:

Cashota Number (if unknown please leave blank)

WAB Square?  (if unknown please leave blank)

* Locator?

* Activated by?

* Callsign For Activation?

* Activation Dates:

Email Address?

* Contact Number?

* I give permission for CASHOTA to publicise this event on my behalf.

	yes
	no

This form will be processed by the Regional corodinator who will contact you shortly.Once you have completed your activation.  please send images of your event, for the site, or keep the forum updated.