Revised Sept 26 03
    

                     ARRL NOVEMBER CW SWEEPSTAKES       

CALL USED ________________    ARRL SECTION ___________

Note:  Separate logs must be submitted with separate summaries for each 
       mode.

Category:  Check One:  

Single Op QRP    Q  _____      Single Unlimited     U  _____
Single Op Low    A  _____      School Club          S  _____
Single Op High   B  _____      Multioperator        M  _____

If multioperator, you must list all ops _______________________________
 
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:____________________________________________ |
+-------------------------------------------------------------------+

Equipment Description:  
Rigs     __________________________________________________________
Antennas __________________________________________________________

Please enclose log, photos, comments, ideas, etc. with your entry and
mail within 30 days after the contest to: November Sweeps CW, ARRL 
Contests, 225 Main Street, Newington, CT 06111.

Email:  sscw@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 ___________

  
+----------------< 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     NL       |
| ME    NNJ   MDC  KY   MS    ORG   ID   WV   WI   KS     QC       |
| NH    NNY   WPA  NC   NM    SB    MT             MN     ON       |
| RI    SNJ        NFL  NTX   SCV   NV             MO     MB       |
| VT    WNY        SC   OK    SDG   OR             NE     SK       |
| WMA              SFL  STX   SF    UT             ND     AB       |
|                  TN   WTX   SJV   WWA            SD     BC       |
|                  VA         SV    WY                    NT       |
|                  PR 	      PAC   AK                             |
|                  VI						   |	
|                  WCF                                             |
+------------------------------------------------------------------+

NAME_____________________________________ CALL______________
  
ADDRESS_____________________________________________________
  
____________________________________________________________

Email Address:  ____________________________________________