2009 Wisconsin QSO Party Entry Form

                             2009 WISCONSIN QSO PARTY
                                SCORE SUMMARY SHEET

  Name_______________________________________________Call______________________

  Address______________________________________________________________________

  City_________________________________State/Province_____________Zip _________

  Home WI County _____________________Club Affiliation_________________________

  ENTRY CLASS:    __Single Op Fixed     __Multi Op Fixed    __Multi-Multi Fixed

                  __Single Op Mobile    __Multi Op Mobile   __Multi-Multi Mobile

                  __Single Op Novice    __Multi Op Tech     __Single Op Tech

  POWER LEVEL:    __HIGH                __LOW               __QRP

  WI Counties Worked From______________________________________________________

  _____________________________________________________________________________

  CONTACT POINTS: CW QSOs    __________  x 2   = __________ CW Points

                  Phone QSOs __________  x 1   = __________ Phone Points

                  Sum of CW + Phone Points     = __________ Contact Points

  POWER:  (Choose only one power category.)
          HIGH (over 150 watts)      CW + phone points x l.0 = __________
          LOW (5 watts to 150 watts) CW + phone points x 1.5 = __________
          QRP (less than 5 watts)    CW + Phone Points x 2.0 = __________

                                        TOTAL CONTACT POINTS = __________

  MULTIPLIERS:        Wis. Counties (Max. 72)    __________

                      States (Max. 50)           __________

                      Provinces (Max. 13)        __________

                      TOTAL MULTIPLIERS        = __________

  SCORING:       Contact Points x Multipliers  = __________ Points

                 Bonus Points                  = __________ Points

                 FINAL SCORE                   = __________ Points

  I have read and followed the 2009 WISCONSIN QSO PARTY RULES.  (All OPERATORS
  must sign - CLEARLY READABLE with callsign)

  Signature(s)_________________________________________________________________

  Date __________________________________

All paper entries must be sent to: Wisconsin QSO Party, West Allis Radio Amateur Club, P. O. Box 1072, Milwaukee, WI 53201, postmarked no later than April 17, 2009. The Wisconsin QSO Party Committee may disqualify late entries and/or those entries with QSO Party rules violations. Results will be available in approximately mid-June on the Internet at www.warac.org -OR- by submitting an SASE with entry.

© 2009 West Allis Radio Amateur Club, Inc. Revised 12/17/2008