A
                                                                           
 __________________________________________________________________ R   R ______
                          (Do not write above line)                         
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                           ARRL 160-METER CONTEST
  

CALL USED ______________________________  ARRL SECTION or COUNTRY_______________
  
CALL OF OPERATOR IF DIFFERENT FROM CALL USED____________________________________
  
CHECK ONE:
Single Operator                                   _________________ QSO points*                               
   [] QRP (5-W output or less)                 
   [] Low Power (150-W output or less)          X _________________ Multipliers
   [] High Power (more than 150-W output)                                   
                                                = _________________ Claimed score
[] Multioperator                         
                                    *Count 2 points for W/VE QSO, 5 points for DX  
  
If multioperator, list calls of all operators and loggers:
_______________________________________________________________________________
  
+------------------------+ +----------------+ +----------------+ +-------------+
|                        | |                | |                | |             |
+------------------------+ +----------------+ +----------------+ +-------------+
 Claimed Score               QSOs               Multipliers        Hrs of Op
  
Rig:______________________________ Antenna:_____________________________________
  
"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
promptly to: ARRL Contests, 225 Main Street, Newington, CT 06111.
  
+-----------------------< MULTIPLIER CHECK-OFF LIST >--------------------------+
|  1    2    3     4     5     6     7     8     9     0     VE      DX        |
|  CT   ENY  DE    AL    AR    EB    AZ    MI    IL    CO    MAR               |
|  EMA  NLI  EPA   GA    LA    LAX   EWA   OH    IN    IA    PQ                |
|  ME   NNJ  MDC   KY    MS    ORG   ID    WV    WI    KS    ON                |
|  NH   SNJ  WPA   NC    NM    SB    MT                MN    MB                |
|  RI   WNY        NFL   NTX   SCV   NV                MO    SK                |
|  VT              SC    OK    SDG   OR                NE    AB                |
|  WMA             SFL   STX   SF    UT                ND    BC                |
|                  TN    WTX   SJV   WWA               SD    YU/NWT            |
|                  VA          SV    WY                                        |
|                  PR          PAC   AK                                        |
|                  VI                                                          |
+------------------------------------------------------------------------------+
  
Print or type:
  
NAME_____________________________________ CALL______________
  
ADDRESS_____________________________________________________
  
____________________________________________________________