Call Used: ____________
Operators: ______________________________________
Category code: ____________
( SOB / MOB / SOF / MOF / HOM )
Station Location: __________________________________________________________
Rig(s): ________________________________
Antenna(s): ______________________
Highest Power: ______W
Exchanged info: ________________________________
____________________________________________________________________________
|
|
|
| STATE/PROVINCE/COUNTRY
TOTALS |
QSO POINTS
|
|
|
|
|
|
|
| 40M
= _____
| 40M = ____ ____
____ |
|
|
|
| 20M
= _____
| 20M = ____ ____
____ |
|
|
|
| 15M
= _____
| 15M = ____ ____
____ |
|
|
|
| 10M
= _____
| 10M = ____ ____
____ |
|
|
|
|
| TOTALS = ____ ____ ____
|
|
|________________________________________|
|
|
|
|
| LOCATION
MULTIPLIERS |
|
|
|
| TOTAL = _____(All
SPCs per band) | Battle Field = x5 ___ Home = x1 ___
|
|
| Field Station = x3 ___
|
|___________________________________|________________________________________|
|
|
|
BONUS POINTS
|
|
(State names that begin with the following letters)
|
|
(One state per letter, no duplicates)
|
|
|
|
|
|
C I
V I
L W
A R
|
|
|
|
_____ _____ _____ _____
_____ _____ _____ _____
|
|
|
|
|
| TOTAL BONUS POINTS:
Number of States above x 100 = ____________ pts
|
|____________________________________________________________________________|
FINAL SCORE = __________
X ______ X _____ + _______ = _____________PTS
QSO Pts SPCs
Loc Bonus
Final Score
Comments:
I have followed all competition
rules and 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 NorCal Contest Critter.
Date _________ Signature _______________________________ Call __________
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