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        _________________________________________________________________
                         (do not write above this line)
                               ARRL UHF CONTEST 

        CALL USED:__________                    GRID SQUARE:_____________
                                         ARRL SECTION:___________________
        Calls of stations recruited:_____________________________________
         (Recruits are stations you encouraged to get on during the
          contest and submit an entry.)
        
        ___ Single operator multiband  
        ___ Single operator single band _____ MHz
        ___ Novice Single band 
        ___ Rover
        ___ Multioperator         If multioperator, list the calls of all
        operators and loggers:___________________________________________
        _____________________________________________________________________________________________________
                   (Not eligible for single band awards.)

        BAND    VALID QSO's  PTS PER QSO  QSO PTS   GRID SQUARES
        222     |           |  X  3  =   |         |             |
        432     |           |  X  3  =   |         |             |
        902     |           |  X  6  =   |         |             |
        1296    |           |  X  6  =   |         |             |
        2304    |           |  X 12  =   |         |             |
        3456    |           |  X 12  =   |         |             |
        5760    |           |  X 12  =   |         |             |
        10 GHz  |           |  X 12  =   |         |             |
        24 GHz  |           |  X 12  =   |         |             |
        47 GHz  |           |  X 12  =   |         |             |
        Light   |___________|__X_12__=___|_________|_____________|
        Totals: |___________|            |_________|_____________|
        Total  QSO  points times total grid squares equals  your  CLAIMED 
        SCORE:___________________________
                  DESCRIBE STATION EQUIPMENT AND ANTENNAS ON BACK, 
                              OR AT BOTTOM OF FILE!
        
        "I  have observed all competition rules, as well as  all  regula-
        tions  for  Amateur Radio in my country. My report  is  true  and 
        correct  to the best of my knowledge. I agree to be bound by  the 
        decisions of the ARRL awarcisions of the ARRL awards committe."
        Name________________________ Call:______________ Date:___________
        Address__________________________________________________________
        City________________ State____ Zip:_____________ Country_________

        NOTE: Carefully check your log for duplicate QSO's and  miscopied 
        information.  A  penalty is assesed for  incorrectly  copied  QSO 
        info.

        Please  put  soapbox comments, etc.  on back (Or bottom of file). 
        Enclose photos, ideas, comments, etc. if you desire.

        MAIL YOUR ENTRY TO: ARRL Contest Branch
                            225 Main Street
                            Newington, CT 06111
               *** MAIL PROMPTLY! OBSERVE THE ENTRY DEADLINE! ***