ONTARIO QSO PARTY SUMMARY SHEET          Year: ______

Callsign used: __________
Multiplier:    __________

[ ] Fixed Station    [ ] Mobile Station   [ ] Rover Station

[ ] Multi Operator   

[ ] Single Operator  [ ] High Power    [ ] Low Power     [ ] QRP 

                     [ ] Phone Only    [ ] CW only  

                     [ ] Mixed Mode    [ ] Youth Plus 
[ ] SWL 

                 +----+---------+---------+-----------+------+       CLEAN
                 |    |         |         |CCO/ODX/RAC|      |       SWEEP
                 |BAND|SSB/FM x1|  CW x2  |    x10    |MULTIS|       __:__
                 +----+---------+---------+-----------+------+
                 | 1.8|         |         |           |      |
                 | 3.5|         |         |           |      |
                 |   7|         |         |           |      |
                 |  14|         |         |           |      |                 
                 |  21|         |         |           |      |
                 |  28|         |         |           |      |
                 |  50|         |         |           |      |
                 | 144|         |         |           |      |
                 +----+---------+---------+-----------+------+
                 |TOT.|         |         |           |      |
                 +----+---------+---------+-----------+------+
                 |PTS.|         |         |           |<--Add
                 +----+---------+---------+-----------+

_______ valid QSOs (QSOs in log: _______  Invalids: _______)
_______ total QSO points x _____ total multipliers = __________ Final score

Mobile/Rover Bonus (if applicable): ______ x
300 = ________ 

COMMENTS: _________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Names and callsigns of operators of multi-operator station:
___________________________________________________________________________

Date: _________________________    Signature/Call: ________________________
Name: _____________________________________________________________________
Street: ___________________________________________________________________
City: _____________________________________________________________________
Country: __________________________________________________________________
Email Address: ____________________________________________________________
Telephone: ________________________________________________________________

[ ] I enclose $_______ as a donation to help out with the Ontario QSO Party.

Online logs are strongly encouraged.  See the Submit Logs page.
Entries should be e-mailed or postmarked no later than May 18.