20____ VIRGINIA QSO PARTY SUMMARY SHEET
Please submit separate entry forms for fixed and mobile operations
Name ________________________________________________ Call Sign _______________________
Club Name ____________________________________________ License Class ___________________
Address ______________________________________________ County/State/Province/DX _________
______________________________________________
______________________________________________
Plaque Category ______________________________________ Certificate Category _____________
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 TOTALS
QSO Points:
Number of PHONE Contacts ______________________ X 1 point = _______________
Number of CW 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(39)
Contacted (134 Max) = _______________
Total number of U. S. States Contacted (Excluding Virginia) = _______________
Total number of Canadian Provinces
Contacted (13 Maximum)
(Nova Scotia, Quebec, Ontario, Manitoba, Saskatchewan, Alberta,
British Columbia, Northwest Territories, New Brunswick,
Newfoundland and Labrador, Nunavut, Yukon, Prince Edward
Island) = _______________
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 __________ X 100 =
_______________
500 Bonus points for a K4NVA contact = _______________
TOTAL BONUS POINTS = _______________
CONTEST GRAND TOTAL (Total QSO Party Score plus Bonus Points) = _______________