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QRZ! Ham Radio 4
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QRZ Ham Radio Callsign Database - Volume 4.iso
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Wrap
Text File
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1994-11-20
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5KB
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94 lines
Field Day
1. Field Day Call Used _______________
2. Club or group name ____________________________________________________
3. Field Day location ____________________________________________________
4. Check if you began 5. Number of people 6. Number of trans-
set-up prior to participating in mitters in simul-
1800 UTC Saturday. ___ this operation. ____ taneous operation. _____
7. ARRL/Canadian Section _____________
8. Entry Class
(check one only)
__ A. Club or non-club 11. *---------------------------------------*
| CW # PHONE |
__ B. Non-club portable |-------------------#-------------------|
1 op ___ | QSOs |PWR OUT# QSOs |PWR OUT|
2 op ___ |---|-------|-------#---|-------|-------|
List operators |160| | #160| | |
__________________ |---|-------|-------#---|-------|-------|
| 80| | # 80| | |
__ C. Mobile |---|-------|-------#---|-------|-------|
| 40| | # 40| | |
__ D. Home Station |---|-------|-------#---|-------|-------|
(commercial power) | 20| | # 20| | |
|---|-------|-------#---|-------|-------|
__ E. Home Station | 15| | # 15| | |
(emergency power) |---|-------|-------#---|-------|-------|
| 10| | # 10| | |
9. Power Source |---|-------|-------#---|-------|-------|
| 6| | # 6| | |
__ Generator __ Battery |---|-------|-------#---|-------|-------|
__ Commercial Mains __ Other | 2| | # 2| | |
|---|-------|-------#---|-------|-------|
10. Call sign of Novice/Technician | OTHERS # OTHERS |
station (class 2A and above) |___________________#___________________|
____________ | | | # | | |
| | | # | | |
|---|-------|-------#---|-------|-------|
12. Total | | | # | | |
| | | # | | |
CW QSOs _____ X 2 = _________ *---------------------------------------*
*---------------------------------------*
| | CW # | Phone |
Total | | QSOs # | QSOs |
|-----------|-------#-----------|-------|
Phone QSOs ____ X 1 = _______ | |Novice # |Novice |
| |CW QSOs# |Ph.QSOs|
|-----------|-------#-----------|-------|
Total QSO points ________ | | Total # | Total |
| |CW QSOs# |Ph.QSOs|
*-------------------#-------------------*
13. Total QSO points _______ X Power Multiplier (5W or less, X5; 150W or
less, X2; over 150W, X1) _______ equals Claimed Score (less
bonus points) ___________
14. Bonus Points __ 100% Emergency Power __ Messages handled
(no.) ________
Attach proof required __ Media Publicity
for all bonus points __ Satellite
claimed. All bonus __ Location in a
points will be added public place __ Natural Power
at ARRL HQ
__ Information booth __ Packet Radio
__ Message to SM __ VHF/UHF
__ W1AW Field Day message __ Other _________
15. This certifies that the station whose call appears above was operated
in accordance with the current field day rules and that, to the best of
my knowledge, the points and scores set forth in the above summary are
correct and true. This station was operated in accordance with FCC
rules and regulations. I agree to be bound by any decision of the ARRL
Awards Committee.
Date _________ Signed ________________________ Call __________
signature/call of club president
16. Full mailing address (please print)
Name _______________________________
Address _______________________________
_______________________________