FIELD DAY Please write legibly. Make certain you have filled out this form completely and have enclosed any required dupe sheets, photographs and bonus claims Entries must be postmarked within 30 days of the end of the event and mailed to: Field Day Entries ARRL 225 Main St. Newington, CT 06111 USA 1. Field Day Call Used ___N0BRC__________________________________ GOTA Station Call _______N/A__________________________________ 2. Club or Group name (if Class A station) __NoBARC_______________ (North Bay Amateur Radio Club) 3. Number of Participants ____12_______ 4. Number of Transmitters in simultaneous operation ___4__________ 5. Entry Class: Check only one. _X_ A. Club or non-club group portable ___ B. 1 or 2 person non-club Group portable List call of operators: ______________________________________ ___ C. Mobile ___ D. Home station commercial power ___ E. Home station emergency power 6. Check all power sources used _X__ Generator ___ Commercial mains ___ Battery ___ Other (list) __________________________ 7. ARRL / RAC Section _____San Francisco________ 8. Total CW QSOs ____0______ x 2 = Total CW QSO points ____0______ 9. Total Digital QSOs __0____ x 2 = Total Digital QSO points __0____ 10. Total Phone QSOs ___514__ x 1 = Total Phone QSO points __514____ 11. Total QSO Points ________514__________ 12. Power Multiplier (select only one) ___ 5 Watts or less and Battery powered = 5 _X__ 150 Watts or less = 2 ___ Over 150 Watts = 1 (transfer to line 13) 13. Power Multiplier _________2____________ 14. Claimed Score ________1028____________ (line 11 x line 13) (excluding bonus points) 15. Bonus points claimed: Please check each block as appropriate and include required proof of points with your submission. All bonus points will be verified at ARRL HQ and added to your score. ___ 100% Emergency power ___ Media Publicity ___ Set-up in Public Place ___ Information Booth ___ NTS message to ARRL SM/SEC ___ W1AW Field Day Message ___ Formal NTS messages handled (# __________) ___ Satellite QSO completed ___ Natural power QSOs completed ___ Site Visited by invited officials ___ GOTA station maximum QSOs achieved ___ Non-Traditional Demonstration modes (list each): A. _____________________________________________ B. _____________________________________________ C. _____________________________________________ Total Bonus Points Claimed: _________0_________ 16. I/We have observed all competition rules as well as all relations for amateur radio in my/our country. My/our report is correct and true to the best of my/our knowledge. I/We agree to be bound by the decisions of the ARRL Awards Committee. Date: ________________July 13, 2002_______________________ Call: _________________N6MHG______________________ Signature: ____________Ken Harrison______________________ (signature/call of club president or authorized club representative) Address: _________2525 Tamarisk Dr.______________ Address: _________Santa Rosa, CA 95405________________ E-Mail Address: __________n6mhg@arrl.net________________ You must complete the Band/Mode QSO breakdown box below. February 2002 - FD Form Field Day Call Used: _______N0BRC__________ 17. ----------------------------------------------------- | CW | | Digital | | Phone | | | QSO | Power | QSO | Power | QSO | Power | __________|________|________|_________|________|_______|_______| 160 M | | | | | 18 | 100 | __________|________|________|_________|________|_______|_______| 80 M | | | | | 37 | 100 | __________|________|________|_________|________|_______|_______| 40 M | | | | | 216 | 100 | __________|________|________|_________|________|_______|_______| 20 M | | | | | 141 | 100 | __________|________|________|_________|________|_______|_______| 15 M | | | | | 81 | 100 | __________|________|________|_________|________|_______|_______| 10 M | | | | | 17 | 100 | __________|________|________|_________|________|_______|_______| 6 M | | | | | | | __________|________|________|_________|________|_______|_______| 2 M | | | | | 4 | 50 | __________|________|________|_________|________|_______|_______| 1.25 | | | | | | | __________|________|________|_________|________|_______|_______| Other | | | | | | | __________|________|________|_________|________|_______|_______| Other | | | | | | | __________|________|________|_________|________|_______|_______| Satelitte | | | | | | | __________|________|________|_________|________|_______|_______| GOTA | | | | | | | __________|________|________|_________|________|_______|_______| Totals | | CW | |Digital | 514 | Phone | __________|________|________|_________|________|_______|_______| Enter on Enter on Enter on Line 8 of Line 9 of Line 10 Summary Summary Summary 18. List all callsigns of all operators of the GOTA Station: ___N/A__________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________