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  1.                                                                       A        
  2.                                                                                
  3. ___________________________________________________________________ R   R _____
  4.                           (Do not write above line)                         
  5.                                                                       L      
  6.                             ARRL 10-METER CONTEST
  7.  
  8. CALL USED ______________________________  ARRL SECTION or COUNTRY______________
  9.  
  10. CALL OF OPERATOR IF DIFFERENT FROM CALL USED___________________________________
  11.  
  12. CHECK ONE:
  13. Single Operator   Power Output                     License Class        
  14.   [] Phone & CW     [] QRP (5 W or less)             [] Novice    
  15.   [] Phone only     [] Low Power (150 W or less)     [] Technician   
  16.   [] CW only        [] High Power (more than 150 W)  [] Other                                
  17.                                                                                
  18. [] Multioperator                         
  19.  
  20. If multioperator, list calls of all operators and loggers:
  21.  
  22. _______________________________________________________________________________
  23.  
  24. __________QSO points* X __________Multipliers = _______________ Claimed score.
  25.  
  26. Count 2 pts per phone QSO, 4 pts per CW QSO and 8 pts per US Novice/Tech CW QSO
  27. +------------------------+ +----------------+ +----------------+ +------------+
  28. |                        | |                | |                | |            |
  29. +------------------------+ +----------------+ +----------------+ +------------+
  30.  Claimed Score               QSOs               Multipliers        Hrs of Op
  31.  
  32. "I have observed all competition rules as well as all regulations for Amateur 
  33. Radio in my country. My report is correct and true to the best of my knowledge.
  34. I agree to be bound by the decisions of the ARRL Awards Committee."
  35.  
  36. Date ______________ Signature _______________________________ Call ____________
  37.  
  38. Please enclose log, photos, comments, ideas, etc. with your entry and mail
  39. promptly to: ARRL Contests, 225 Main Street, Newington, CT 06111.
  40.  
  41. +-----------------------< MULTIPLIER CHECK-OFF LIST >-------------------------+
  42. |  1    2    3     4     5     6     7     8     9     0       VE        DX   |
  43. |  CT   NY   DC    AL    AR    CA    AZ    MI    IL    CO    NB   NF          |
  44. |  MA   NJ   DE    FL    LA    HI    ID    OH    IN    IA    NS   LAB         |
  45. |  ME        MD    GA    MS          MT    WV    WI    KS    PEI  NWT         |
  46. |  NH        PA    KY    NM          NV                MN    PQ   YUK         |
  47. |  RI              NC    OK          OR                MO    ON               |
  48. |  VT              SC    TX          UT                NE    MB               |
  49. |                  TN                WA                ND    SK               |
  50. |                  VA                WY                SD    AB               |
  51. |                                    AK                      BC               |
  52. +-----------------------------------------------------------------------------+
  53.  
  54. NAME_____________________________________ CALL______________
  55.  
  56. ADDRESS_____________________________________________________
  57.  
  58. ____________________________________________________________                   
  59.