MESSAGE NUMBER ___________
(MARSGRAM)
(ROUTINE )
TIME ____________ZULU__________ ______
(PRIORITY)
(Date/Time Group)
(Month) (Year)
FROM ___________________________________________
___________________________________________
____________________________________ FIGURES _______
(Zip Code)
FIGURES ___________________ SLANT
CALLSIGN _______________ _____
(Phone Number)
(Originating
Station) (State)
TO ______________________________________________
______________________________________________
________________________________________
FIGURES ___________
(Zip Code)
FIGURES _______________________
(Phone Number)
GROUPS __________
BREAK
____________ ____________ ___________
____________ ___________
1
2
3
4
5
______________ ______________
____________ ______________
_____________
6
7
8
9
10
______________ ______________
____________ ______________
_____________
11
12
13
14
15
______________ ______________
____________ ______________
_____________
16
17
18
19
20
______________ ______________
____________ ______________
_____________
21
22
23
24
25
______________ ______________
_____________ ______________ ______________
26
27
28
29
30
______________ `______________
_____________ _____________ _______________
31
32
33
34
35
BREAK OVER
_____________________________________________________________________________
______________________________________________________________________________
(Operators note or any other info. such as
relayed to - Mailed Etc.)
This Unofficial form origionally provided by AFA3VP
(Revised 09/11/2008)