The author of this form is Dan Handerson, N1ND at contests@arrl.org

		ARRL JANUARY VHF SWEEPSTAKES

[ ]  January                                   GRID SQUARE __________
 
CALL USED _____________________  ARRL SECTION ______________________
 
CALL OF OPERATOR IF DIFFERENT FROM CALL USED________________________

Entry Category:  Select ONLY ONE:
 
[ ] Single operator low power
[ ] Single operator high power
[ ] Single operator portable 
[ ] Limited Multioperator 
[ ] Multioperator Unlimited   
[ ] Rover  

If multiop, calls of all operators and loggers must be shown:
____________________________________________________________________


+-----------Valid QSOs-----QSO Points-Multipliers+
|  50 MHz |           |x1|           |           |
|---------|-----------|--|-----------|-----------|
| 144 MHz |           |x1|           |           |
|---------|-----------|--|-----------|-----------|
| 222 MHz |           |x2|           |           |
|---------|-----------|--|-----------|-----------|
| 432 MHz |           |x2|           |           |
|---------|-----------|--|-----------|-----------|
| 902 MHz |           |x4|           |           |
|---------|-----------|--|-----------|-----------|
|1296 MHz |           |x4|           |           | 
|---------|-----------|--|-----------|-----------|
|2304 MHz |           |x8|           |           |
|---------|-----------|--|-----------|-----------|
| 3.4 GHz |           |x8|           |           |
|---------|-----------|--|-----------|-----------|
| 5.7 GHz |           |x8|           |           |
|---------|-----------|--|-----------|-----------|
|  10 GHz |           |x8|           |           |
|---------|-----------|--|-----------|-----------|
|  24 GHz |           |x8|           |           |
|---------|-----------|--|-----------|-----------|
|  47 GHz |           |x8|           |           |
|---------------------|--|-----------|-----------|
|  75 GHz |           |x8|           |           |  Claimed score equals
|---------|-----------|--|-----------|-----------|  total QSO points times 
| 119 GHz |           |x8|           |           |  total multipliers.
|---------|-----------|--|-----------|-----------|     
| 142 GHz |           |x8|           |           |   
|---------|-----------|--|-----------|-----------|
| 241 GHz |           |x8|           |           |
|---------|-----------|--|-----------|-----------|
| 300+GHz |           |x8|           |           | 
|---------|-----------|--|-----------|-----------|
|  Grids Activated - Rovers Only     |           | Claimed Score
|==================================================================+
|   Total |           |  |           |           |                 |
+-----------------+---------+--------------------------------------+
| HOURS OPERATING |         |
+-----------------+---------+--------------------------------------+
| Club participation?   Yes____  No____                            |
| ARRL Affiliated Club:____________________________________________|

+------------------------------------------------------------------+
Please enclose log, photos, comments, ideas, etc. with your entry and
mail within 30 days after the contest to: January VHF Sweepstakes,
ARRL Contests, 225 Main Street, Newington, CT 06111.

Email:  januaryvhf@arrl.org        
WWW:    www.arrl.org/contests

+------------------------------------------------------------------+

"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 ____________
 
NAME________________________________________________________________
 
ADDRESS_____________________________________________________________
 
____________________________________________________________________

Email Address: _____________________________________________________