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PODXS Ø7Ø CLUB
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31 Flavors
31 Flavors Entry Form
2012 31 Flavors Entry Form
(Please fill in every box, even if it's with a Ø - thanks.)
Entry Category:
QRP
Low Power
Medium Power
Callsign:
Name:
Street Address:
City:
State/Prov:
Country:
Zip/Postal Code:
Email Address:
070 Club Member Number:
Number of BPSK31 QSOs:
Number of BPSK31 Mults:
Number of QPSK31 QSOs:
Number of QPSK31 Mults:
Number of BPSK63 QSOs:
Number of BPSK63 Mults:
Number of QPSK63 QSOs:
Number of QPSK63 Mults:
Number of BPSK125 QSOs:
Number of BPSK125 Mults:
Claimed Score:
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Ø7Ø Club Sponsored Contests 31 Flavors 31 Flavors Entry Form