Great Lakes Lighthouse/Lightship Award (GLLA)

Michigan DX Association

Awards Manager Ted T. Sarah-W8TTS

(Basic Award Application Form)

The Great Lakes are Michigan, Superior, Huron, Ontario and Erie

The Great Lakes States/Province are Michigan, Minnesota, Wisconsin,
Illinois, Ohio, Indiana, Pennsylvania, New York, and the Canadian Province of Ontario

Minimum ( 7 ) Lighthouses On Any 2 Great Lakes!

Don't forget the copies of the QSL cards.


 1. State/Province_______Lake___________________Call_____________

    Date_______________LH  Name____________________________________ARLHS LH#_________


 2. State/Province_______Lake___________________Call_____________

    Date_______________LH  Name____________________________________ARLHS LH#_________


 3. State/Province_______Lake___________________Call_____________

    Date_______________LH  Name____________________________________ARLHS LH#_________


 4. State/Province_______Lake___________________Call_____________

    Date_______________LH  Name____________________________________ARLHS LH#_________


 5. State/Province_______Lake___________________Call_____________

    Date_______________LH  Name____________________________________ARLHS LH#_________


 6. State/Province_______Lake___________________Call_____________

    Date_______________LH  Name____________________________________ARLHS LH#_________


 7. State/Province_______Lake___________________Call_____________

    Date_______________LH  Name____________________________________ARLHS LH#_________















Additional(Optional) Lighthouse/Lightships Beyond the Required 7

(Helpful if one of the first 7 is disallowed.)


 8. State/Province_______Lake___________________Call_____________

   Date_______________LH  Name____________________________________ARLHS LH#_________


 9. State/Province_______Lake___________________Call_____________

    Date_______________LH  Name____________________________________ARLHS LH#_________


10. State/Province_______Lake___________________Call_____________

    Date_______________LH  Name____________________________________ARLHS LH#_________

Note:If you are claiming more than 10 Lighthouses,list them on a separate sheet.


Your signature on this application form confirms your reading, understanding and abiding by the Awards Requirements for this award, and abiding by good amature practices. The basic award will be issued for the 7 proper contacts with endorsements for each group of 5 thereafter. Please use the list of lights from the ARLHS to help me track your awards. Fee for this award is $5.00/US and $6.00/DX.

Contact Awards Manager Via E-mail for future Endorsement information.


Name (printed) _______________________________________ Call Sign ______________

Address _______________________________________________________________________

City ________________________________ State/Country _______________ Zip _______

E-mail ____________________________________                                    

Signature ______________________________________________ Date _________________

Make checks payable to, and mail to: Ted T. Sarah-W8TTS 239 Bermont Ave,Munroe Falls,OH 44262-1105 USA