The author of this form is Bill Moore, NC1L                     dxcc@arrl.org
This form revised 2/16/00


Your Callsign: ____________________________        Page ______ of _______ 

Directions: Sort cards first by band then by mode then list cards below in that 
order.  Fill in all sections. 
_______________________________________________________________________________
                 |    QSO Date      |        |         |
    Callsign     |    DD/MM/YY      |  Band  |   Mode  | Entity Name 
_________________|__________________|________|_________|_______________________
                 

1_______________ | _____ /____/_____| ______ | _______ | ______________________ 

2_______________ | _____/____/_____ | ______ | _______ | ______________________ 

3_______________ | _____/____/_____ | ______ | _______ | ______________________ 

4_______________ | _____/____/_____ | ______ | _______ | ______________________ 

5_______________ | _____/____/_____ | ______ | _______ |_______________________ 

6_______________ | _____/____/_____ | ______ | _______ | ______________________ 

7_______________ | _____/____/_____ | ______ | _______ | ______________________ 

8_______________ | _____/____/_____ | ______ | _______ | ______________________ 

9_______________ | _____/____/_____ | ______ | _______ | ______________________ 

10______________ | _____/____/_____ | ______ | _______ | ______________________ 

11______________ | _____/____/_____ | ______ | _______ | ______________________ 

12______________ | _____/____/_____ | ______ | _______ | ______________________ 

13______________ | _____/____/_____ | ______ | _______ | ______________________ 

14______________ | _____/____/_____ | ______ | _______ | ______________________ 

15______________ | _____/____/_____ | ______ | _______ | ______________________ 

16______________ | _____/____/_____ | ______ | _______ | ______________________ 

17______________ | _____/_____/____ | ______ | _______ | ______________________ 

18______________ | _____/____/_____ | ______ | _______ | ______________________ 

19______________ | _____/ ____/____ | ______ | _______ | ______________________ 

20______________ | _____/ ____/ ____ | _____ | _______ | ______________________ 

								MSD (505) 2/00