IARU HF World Championship
Last updated 15:13 ET 03/09/04
The author of this form is Dan Henderson, N1ND at contests@arrl.org
March 9, 2004
IARU HF WORLD CHAMPIONSHIP
Administered by the ARRL
Please enclose log, dupe sheets and photos and mail to:
IARU HF World Championships, Box 310905, Newington CT 06111
Call Used: ____________________ Call of Operator: __________________
___ Single Operator Mixed Mode ___ QRP < 5 Watts
___ Single Operator Phone Only ___ Low < 150 Watts
___ Single Operator CW Only ___ High > 150 Watts
___ Multioperator Select only one
___ IARU Headquarters Station
___ IARU Official
Check only one
ITU Zone Sent: ________________ or IARU HQ Sent: ___________________
ARRL Section or DXCC Entity: ___________________________
If Multioperator, list calls of all operators and loggers:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
| CW ONLY | PHONE ONLY | CW and PHONE | BAND |
| QSOs POINTS | QSOs POINTS | QSOs POINTS | MULTIPLIERS|
+-----+-------+-------+-------+-------+-------+-------+------------+
| 160 | | | | | | | |
|-----|-------|-------|-------|-------|-------|-------|------------|
| 80 | | | | | | | |
|-----|-------|-------|-------|-------|-------|-------|------------|
| 40 | | | | | | | |
|-----|-------|-------|-------|-------|-------|-------|------------|
| 20 | | | | | | | |
|-----|-------|-------|-------|-------|-------|-------|------------|
| 15 | | | | | | | |
|-----|-------|-------|-------|-------|-------|-------|------------|
| 10 | | | | | | | |
|=====|=======|=======|=======|=======|=======|=======|============|
|TOTAL| | | | | | | |
+---------------------------------+--------------------------------+
Total QSOs: _____________________
Total QSO Points: _______________
Total Multipliers: ______________
QSO Points x Multipliers = Claimed Score
______________ x ____________ = _____________
"I have observed all competition rules as well as all regulations for
Amateur Radio in my county. 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, acting on behalf of the IARU Secretariat."
Name: ________________________________________ Call: __________________
Address: _______________________________________________________________
________________________________________________________________________
Email: _________________________________________________________________