QRP DXCC AWARD RECORD SHEET

___________________________
      Your Call

DIRECTIONS:  (1)  List QSOs alpha-numerically according to the DXCC 
List publication.  (2)  Make one entry below for each QSO credit.  
(3)  A computer generated form is acceptable provided it matches the 
format below exactly as shown.  (4)  QSO Date = Day, Month, Year.  
(5)  Full entity name required (not prefix).  (6)  Print or type 
clearly.
 _______________________________________________________________________
|    |                 |    QSO Date   |                                |
| No.|   Callsign      |   (DD/MM/YY)  |  Entity Name                   | 
| ___|________________ |_______________|________________________________|
|    | 	               |               |                                | 										
| ___|________________ |_______________|________________________________| 
|    | 	               |               |                                | 										
| ___|________________ |_______________|________________________________|     
|    | 	               |               |                                | 										
| ___|________________ |_______________|________________________________| 
|    | 	               |               |                                | 										
| ___|________________ |_______________|________________________________|     
|    | 	               |               |                                | 										
| ___|________________ |_______________|________________________________| 
|    | 		       |               |                                | 										
|____|_________________|_______________|________________________________|     
|    | 		       |               |                                | 										
|____|_________________|_______________|________________________________| 
|    | 		       |               |                                | 										
|____|_________________|_______________|________________________________|   
|    | 		       |               |                                | 										
|____|_________________|_______________|________________________________| 
|    | 		       |               |                                | 										
|____|_________________|_______________|________________________________|     
|    | 		       |               |                                | 										
|____|_________________|_______________|________________________________| 
|    | 		       |               |                                | 										
|____|_________________|_______________|________________________________|     
|    | 		       |               |                                | 										
|____|_________________|_______________|________________________________| 
|    | 		       |               |                                | 										
|____|_________________|_______________|________________________________|     
|    | 		       |               |                                | 										
|____|_________________|_______________|________________________________| 
|    | 		       |               |                                | 										
|____|_________________|_______________|________________________________|     
|    | 		       |               |                                | 										
|____|_________________|_______________|________________________________| 
|    | 		       |               |                                | 										
|____|_________________|_______________|________________________________|     
|    | 		       |               |                                | 										
|____|_________________|_______________|________________________________| 
|    | 		       |               |                                | 										
|____|_________________|_______________|________________________________|