STATION CALL SIGN: __________________ Operator Call(s): __________________

Exchange QTH: __________ (RI stations enter 3-letter city/town abbreviation; out of
state stations enter 2-letter state abbreviation)

GRID SQUARE: ____________ POWER IN WATTS _____________________

ENTRY CATEGORY (Check only one): Single-Op Base [ ] Single-Op Portable [ ]
Multi-Operator [ ] Mobile/Rover [ ]

POWER SOURCE (Check all the apply): Power Grid [ ] Generator [ ] Battery [ ]

SCORING: _______________ X 2 = _______________
(Number of valid QSOs) (QSO POINTS)

________________________ + ___________________________ + ______________ = ___________________
(# of RI cities/towns worked) (# of states worked other than RI) (# Grids worked) TOTAL MULTIPLIER

______________ X _______________ + _________________ = __________________
(QSO POINTS) (MULTIPLIER) (BONUS POINTS) FINAL SCORE

Do you wish to have your entry scored by the Committee for entry in the CQ WW VHF Contest for listing in CQ Magazine? (YES recommended) Yes [ ] No [ ]

NAME (Print): _______________________________________ CALL: ___________

ADDRESS: ____________________________________________________________

___________________________________________STATE:_______ ZIP: _________

E-MAIL: _____________________________

“I have observed all rules of the contest and have operated my station in accordance with FCC rules.” AFFIRMED: [ ] (Please check)

SUBMISSION INFO: Please attach this summary sheet to your log sheet(s). Entries must be received by September 1. Entrants are strongly encouraged to submit your complete log entry in MS Word or MS Excel format as an e-mail attachment to: ctri2mchallenge at cox dot net (put in proper format). Paper logs may be sent to: CTRI 2-Meter Challenge, 48 Shannock Road, South Kingstown, RI 02879.