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- A
-
- _____ R R ___________________________________________________________________
- (Do not write above line)
- L [] Novice
- ARRL NOVEMBER SWEEPSTAKES [] Technician
- [] Other
- [] CW
- [] PHONE
-
- CALL USED ______________________ PRECEDENCE_____ CHECK______ SECTION __________
-
- CALL OF OPERATOR IF DIFFERENT FROM CALL USED___________________________________
-
- [] Single Operator
- [] Multioperator (list calls of ops)___________________________________________
-
- SCORING: __________QSO points X ________sections = _______________claimed score
-
- Count 2 points per complete QSO. [Cross out sections on the list below.]
- +---------------+ +-------------+ +-------------+ +-------------+ +-----------+
- | | | | | | | | | |
- +---------------+ +-------------+ +-------------+ +-------------+ +-----------+
- Claimed Score QSOs Sections Power Output Hrs of Op
-
- +-----------------------------------------------------------------------------+
- | Club participation? Yes_____ No_____ |
- | ARRL Affiliated Club:______________________________________________________ |
- +-----------------------------------------------------------------------------+
-
- "I have observed all competition rules as well as all regulations for Amateur
- Radio in my country. My report is correct and true to the best of my knowledge.
- I agree to be bound by the decisions of the ARRL Awards Committee."
-
- Date ______________ Signature _______________________________ Call ____________
-
- Please enclose log, photos, comments, ideas, etc. with your entry and mail
- promptly to: ARRL Contests, 225 Main Street, Newington, CT 06111.
-
- +-----------------------< MULTIPLIER CHECK-OFF LIST >-------------------------+
- | 1 2 3 4 5 6 7 8 9 0 VE |
- | CT ENY DE AL AR EB AZ MI IL CO MAR |
- | EMA NLI EPA GA LA LAX EWA OH IN IA PQ |
- | ME NNJ MDC KY MS ORG ID WV WI KS ON |
- | NH SNJ WPA NC NM SB MT MN MB |
- | RI WNY NFL NTX SCV NV MO SK |
- | VT SC OK SDG OR NE AB |
- | WMA SFL STX SF UT ND BC |
- | TN WTX SJV WWA SD YU/NWT |
- | VA SV WY |
- | PR PAC AK |
- | VI |
- +-----------------------------------------------------------------------------+
-
- NAME_____________________________________ CALL______________
-
- ADDRESS_____________________________________________________
-
- ____________________________________________________________
-