20____ VIRGINIA QSO PARTY SUMMARY SHEET
Please submit separate entry forms for fixed and mobile operations
Name ______Call Sign ______
Club Name ______License Class ______
Address ______Date Originally Licensed ______
______County/State/Province/DX ______
______Email ______
Station (Mobile/Fixed/Expedition) ______SWL (Yes/No) ______
Band: VHF Only ____, Single ____, Multi _____ Power: QRP ___, Low ____, High ___
Operator Class: No of Operators ______, No of Transmitters ______
Age ______(if 24 or younger, for YOUTH and YOUNG ADULT award)
I have observed all competition rules and all regulations established for Amateur Radio in my country. My log and summary are correct and true to the best of my knowledge. I agree to be bound by the decisions of the Contest Committee.
Date ______Signature ______
CONTEST SCORE
QSO Points:
Number of PHONE Contacts ______X 1 point = ______
Number of CW and Digital Contacts ______X 2 points = ______
Number of Contacts made with a VA Mobile ______X 3 points = ______
TOTAL QSO POINTS = ______
Multiplier Points
Multipliers are only counted once. Contacting the same County, State, Province or Country
using a different band or mode counts only as a new QSO, not as a new multiplier.
Total number of Virginia Counties (95) & Independent Cities (38)
Contacted (133 Max) = ______
Number of counties/independent cities from which 10 contacts were
made, if not included in above "Total number..." = ______
Total number of U. S. States Contacted (Excluding Virginia) = ______
Total number of Canadian Provinces/Territories Contacted (13 Maximum)
(Alberta, British Columbia, Manitoba, New Brunswick,
Newfoundland and Labrador, Nova Scotia, Ontario, Prince Edward
Island, Quebec, Saskatchewan, Northwest Territories, Nunavut, Yukon) = ______
Total number of DX Countries Contacted (Excluding U.S. and Canada) = ______
TOTAL MULTIPLIER POINTS = ______
TOTAL VIRGINIA QSO PARTY SCORE:
______(Total QSO Points) X ______(Total Multiplier Points) = ______
Bonus Points
Number of VA Cities & Counties from which you
logged contacts as a VA Mobile or Expedition ______X 100 = ______
Points for contact with a bonus station
No. of bonus station ______X 100 = ______
TOTAL BONUS POINTS = ______
CONTEST GRAND TOTAL (Total QSO Party Score plus Bonus Points) = ______