[ ] Novice 
                            ARRL RTTY ROUNDUP           [ ] Technician
                                                        [ ] Other 
  
CALL USED __________________ SECTION or COUNTRY (for DX) __________
  
CALL OF OPERATOR IF DIFFERENT FROM CALL USED________________________

Entry Category:  Select ONLY ONE:
  
[ ] Single Operator Low Power
[ ] Single Operator High Power                                         
[ ] Multioperator Low Power (incl any packet assisted Low Power station)
[ ] Multioperator High Power (incl any packet assisted High Power station)
If Multioperator, calls of all operators and loggers must be shown:
_________________________________________________________________________  

+---------------+
|               |  Hours of Operation
+---------------+  (24 hours max)
  
______________________
Mode    | No. of QSOs |   
Packet  |_____________|
RTTY    |_____________|
Amtor   |_____________|
ASCII   |_____________|
PSK31   |_____________|   

No QSOs through digipeaters or gateways; No unattended operation; 
No crossband or crossmode QSOs.
  
               +--------------+   +------------+   +--------------+
SCORING:       |              | X |            | = |              | 
               +--------------+   +------------+   +--------------+
                  Total QSOs        Multipliers     Claimed Score
  
"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: RTTY Roundup Contest, ARRL 
Contests, 225 Main Street, Newington, CT 06111.
   Email: rttyru@arrl.org      
   WWW:   WWW.ARRL.ORG/CONTESTS
 
+----------------< MULTIPLIER CHECK-OFF LIST >---------------------+
| 1   2   3    4    5    6    7    8    9    0      VE         DX  |
| CT  NY  DE   AL   AR   CA   AZ   MI   IL   CO   NB   NF          |
| MA  NJ  MD   FL   LA        ID   OH   IN   IA   NS   LB          |
| ME      PA   GA   MS        MT   WV   WI   KS   PEI  NWT         |
| NH           KY   NM        NV             MN   QC   YT          |
| RI           NC   OK        OR             MO   ON   VYO         |
| VT           SC   TX        UT             NE   MB               |
|              TN             WA             ND   SK               |
|              VA             WY             SD   AB               |
|                                                 BC               | 
|						                   |
+------------------------------------------------------------------+
  
NAME____________________________________________ CALL______________
  
ADDRESS____________________________________________________________
  
___________________________________________________________________

Email Address:  _______________________________________