2008 CQ-WE PARTICIPANT SCORE SHEET (PLEASE PRINT) Full Name: _____________________________ Call: _____________ Class:_______ Work Address: ____________________________ Home:___________________________ Room/Dept: ____________________________ ___________________________ ____________________________ ___________________________ ____________________________ ___________________________ Phone: ___________________________ Phone:________________________ Email Address: _______________________________________ The Exchange that you sent in the Contest: Name ___________________ Location Code ___________ Years Service _______ (Example: TOM AL 13 ) + If you are retired, check here: _____ + If you operated the entire contest QRP, check here: _____ + If you would like a paper 'Participation Certificate', check here: _____ and send $3 to Thomas Brown, Jr., W2EQ 6 Rutherford Court Jackson NJ 08527 Otherwise, an electronic certificate suitable for printing locally will be mailed to the email address supplied above. + If you would like us to consider (re)activating a new or retired Location Code next year (see http://cqwe.cboh.org/inactive.html for the list of retired Location codes), please list it here: ______ -------------------- MY SCORES ARE ------------------------------- Contact Points x Locations Worked = Total Score This Mode This Mode This Mode CW _______________ x ________________ = _________________ PHONE _______________ x ________________ = _________________ RTTY _______________ x ________________ = _________________ Total Score _________________ The log, location check sheets, and this score sheet submitted are to my knowledge honest and accurate. Signature: _____________________________________ Date:_______________ (Please make any additional comments on the reverse side of this page.)