2001 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 2001 WISCONSIN QSO PARTY RULES.  (All OPERATORS 
must sign - CLEARLY READABLE with callsign)

Signature(s)_________________________________________________________________

Date __________________________________

All entries must be sent to 2001 WISCONSIN QSO PARTY, WEST ALLIS RADIO AMATEUR
CLUB,  P. O. BOX 1072, MILWAUKEE, WI 53201, postmarked no later than April 11, 2001.
The Wisconsin QSO Party Rules 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.