SCHOOL CLUB ROUNDUP _______________ (Year)

                          SUMMARY REPORT FORM

     Instructions: Send this SUMMARY FORM along with LOG and DUPE CHECK
(and/or diskette), soapbox comments and photographs to CAAR/NYCS, c/o
Lew Malchick, Brooklyn Technical High School, 29 Fort Greene Place,
Brooklyn, New York 11217.  (If you send a diskette, please indicate the
filename, type of computer, format, etc., anything that will help to
access your data.  ASCII or TXT formats are usually ok.  SCR-LOG by
AD8B will generate useable forms.)

Callsign Used ___________________

Entry Class ____ (School, Club, I ndividual)

Type of School: ____________________

(Elementary, Middle/Intermediate/Jr.HS, High, College/University)

Chief control operator, trustee, or faculty advisor:

Name __________________________

address ________________________________

_______________________________________

Night telephone: ____-_____-______________

School/Club Name ___________________________________

Address ____________________________________________

____________________________________________________

____________________________________________________

Day telephone: ______-______-______________ ext _______

Number of Operators: _________

Number of hours of operation:_____ (Maximum = 24)

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For Committee Use:

Date Rcvd | Log | Dupe Lists | Diskette | Disk format
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          |     |            |          |
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          |     |            |          |
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Finding your QSO point total:

MODE                 ||       # of QSO's          QSO Points
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PHONE                ||                      x1 =
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CW                   ||                      x2 =
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RTTY                 ||                      x2 =
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PACKET               ||                      x2 =
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OTHER (specify)      ||                      x  =
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Total QSO Points (Sum the QSO Points column) = ___________________



  Finding your Multiplier.

  Number of U. S. A. States worked                     x1 =
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  Number of DXCC Countries worked                      x1 =
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  Number of "C" (Clubs) worked                         x2 =
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  Number of "S" (Schools) worked                       x5 =
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  Multiplier = [States + DX + ("C" x2) + ("S" x5)] = __________________


Final Score.
Total QSO Points ________ x Multiplier _____ = Total Score_____________

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     This certifies that the station whose callsign appears above wa s
operated in accordance with the current School Club Roundup rules and
that, to the best of my knowledge, the points and score in t_w summary
above are correct and true.  This station was operated in accordance
with FCC (or appropriate nat ional authority) rules and regulations.  I
(we) agree to be bound by any decision of CAAR/NYCS contest committee.

Date _________________ Signature ______________________________________

Callsign _________________

Title ____________________________________ Class of License____________