ARRL 10 Meter Contest                                                                            A      
                   
               
CALL USED ________________________  ARRL SECTION _____________________
                 
CALL OF OPERATOR IF DIFFERENT FROM CALL USED__________________________
                 
Entry Category:  Select ONLY ONE:

  Single Operator    Power Output                      License Class      
  [ ] Mixed	     [ ] QRP (5 W or less)             [ ] Novice    
  [ ] Phone only     [ ] Low Power (150 W or less)     [ ] Technician+   
  [ ] CW only        [ ] High Power (more than 150 W)  [ ] Other
						       
						       			                       
  [ ] Multioperator (includes any station packet assisted)                         
  If multioperator, calls of all operators and loggers must be shown:              
______________________________________________________________________
                
 _______QSO points* X _______Multipliers = ____________ Claimed Score
                 
*  Count 2 pts per phone QSO, 4 pts per CW QSO and 8 pts per US Novice/
   Tech CW QSO
+---------------------+ +--------------+ +--------------+ +----------+
|                     | |              | |              | |          |
+---------------------+ +--------------+ +--------------+ +----------+
  Claimed Score               QSOs          Multipliers     Hrs of Op
               
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| Club participation? ____ Yes    ____ No                            |
| If yes, print the name of your ARRL Affiliated Club:               |
| ___________________________________________________________________| 
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"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 within 30 days after the contest to: 10 Meter Contest, 
ARRL Contests, 225 Main Street, Newington, CT 06111.
Email: 10meter@arrl.org         WWW:  www.arrl.org/contests

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		Multiplier Check-Off List			    |	
		(List DX multipliers on other side)		    |	
								    |
1    2     3     4     5     6     7     8     9     0     VE	    |
								    |	
CT   NJ	   DC	 AL   AR     CA	   AZ	 MI    IL    CO	   NB	NF  |
MA   NY	   DE	 FL   LA     HI	   ID	 OH    IN    IA	   NS	LB  |
ME	   MD	 GA   MS	   MT	 WV    WI    KS	   PEI	NWT |	
NH 	   PA	 KY   NM	   NV		     MN	   QC	YT  |	
RI		 NC   OK	   OR		     MO	   ON	NU  |
VT		 SC   TX	   UT		     NE	   MB	    |
		 TN		   WA		     ND	   SK	    |
		 VA		   WY		     SD	   AB	    |
				   AK			   BC	    |	
____________________________________________________________________|

NAME______________________________________________ CALL______________
                 
ADDRESS______________________________________________________________
                 
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