SPEEDWAY CHAPTER UP-GRADE FORM

  

  

  

CALL = __________

  

  

CHAPTER # = __________

  

  

10X PAID UP DUES SUBMITTED  (Year)  __________

  

  

OLD POINTS SUBMITTED __________

  

  

NEW POINTS SUBMITTED __________ FOR + 1 PER 150

  

TOTAL POINTS SUBMITTED ____________

  

  

FLAG SEALS WORKED (Totals)

  

Green _____ Yellow _____ Blue _____ Black _____ Red _____ White _____ Checkered _____

  

  

5x9 NUMBERS WORKED (Total)  __________

  

Convention Seals (Total) 

  

  

MONTHLY SPECIALS WORKED (New)  __________ FOR + 5 EACH OR 25 A SET

  

  

CONTACTS SUBMITTED (Total)  __________

  

  

YOUR NEW POINT VALUE = __________

  

  

YOUR NEW SEALS = __________ __________ __________ __________   

 

  

  

YOUR SUPPORT IS APPRECIATED !!!

  

  

REMEMBER : ENJOY !!! ENJOY !!! ENJOY

  

  

  

"73" de  Dave CH/CM W7CAR

  

  

Email = W7CAR@arrl.net

  

Snail Mail:  to QRZ

  

© 2009 - 2014 W7CAR

Created with the QTH.com SiteBuilder.