Call ___________ Six Meter SMIRK Contest Log Page ___ of ____
|
QSO No. |
UTC Time |
Sta. Wrkd |
SMIRK No. |
Grid |
Grid No. |
QSO No. |
UTC Time |
Sta. Wrkd |
SMIRK No. |
Grid |
Grid No. |
Please complete on Page 1 of log.
Name:_____________________________________ SMIRK Members Worked: ______x 2= __________
Address:___________________________________ Non-SMIRK stations wrkd: _____ x 1= __________
___________________________________ Total QSO Points: __________ ARRL Section (or Country if other than US or Canada):__________________ Claimed Score (QSO Pts x Grids): __________
SMIRK Number: ___________
I have observed all of the Rules governing the SMIRK contest and the radio regulations of my country and this log is true to the best of my knowledge.
Signed: ______________________________ Date: ____________________