Wisconsin VHF/UHF County Hunters Award Official Entry Form
 
  County Call Date Mode 50 144 222 432 903 1296 ___   County Call Date Mode 50 144 222 432 903 1296 _______
1 Adams W9FZ/R 09/19/11 SSB X X X X       37 Marathon KC9LWC 5/26/10 SSB   X X* X*   X*=W 9FZ/R
2 Ashland AI9Z 06/11/11 SSB X             38 Marinette                    
3 Barron W9FZ/R 06/19/11 SSB X X X X       39 Marquette WA9WGN 01/25/10 SSB X X          
4 Bayfield                     40 Menominee W9FZ/R 06/13/11 SSB   X          
5 Brown N9OLT 06/15/11 SSB   X           41 Milwaukee WB9TFH 6/3/10 SSB   X          
6 Buffalo W9FZ/R 06/16/11 SSB X X X X       42 Monroe KC9NOJ/M 05/20/10 FM   X          
7 Burnett W9FZ/R 07/24/11 SSB X X X         43 Oconto W9FZ/R 06/13/11 SSB   X X        
8 Calumet                     44 Oneida W9FZ/R 07/17/11 SSB   X X        
9 Chippewa N0EDV 06/13/10 SSB X* X   X*   *N9 ISN 45 Outagamie W9FZ/R 06/12/11 SSB   X X        
10 Clark W9FZ/R 07/17/11 SSB x X x X       46 Ozaukee                    
11 Columbia 09/21/10 W9FZ/R SSB   X           47 Pepin W9FZ/R 06/16/11 SSB X X X X      
12 Crawford WX9EP/M 8/19/10 FM   X           48 Pierce W9FZ/R 6/15/11 SSB X X X X      
13 Dane N9LB 06/19/11 SSB X X X X       49 Polk W9FZ/R/r 06/19/11 SSB X X X X      
14 Dodge K9AU 6/3/10 SSB   X           50 Portage W9FZ/R 09/19/10 SSB X X X X      
15 Door                     51 Price WB9WHQ 9/16/10 SSB   X          
16 Douglas AB9AC 07/19/11 FM   X           52 Racine                    
17 Dunn W9FZ/R 06/19/11 SSB X X X X       53 Richland W9FZ/R 9/16/10 SSB X X X X      
18 Eau Claire K9MU 01/23/10 SSB X X X X       54 Rock                    
19 Florence W9FZ/R 07/16/11 SSB   X           55 Rusk                    
20 Fond du Lac K9JCZ 4/14/10 SSB   X           56 Sauk 09/21/10 W9FZ/R SSB   X          
21 Forest 07/16/11 W9FZ/R SSB   X           57 Sawyer W9FZ/R 07/24/11 SSB X X X X      
22 Grant KC9MCC 8-19-10 FM   X           58 Shawano W9FZ/R 06/13/11 SSB   X X X      
23 Green W9FZ/R 9/20/10 SSB   X           59 Sheboygan KC9BQA 4/14/10 SSB X X X        
24 Green Lake W9GA/w9fz/r 09/05-19/11 SSB   X X X       60 St Croix W9FZ/R 06/19/10 SSB X X X X      
25 Iowa KE6CBR/R 9/20/10 SSB   X           61 Taylor                    
26 Iron                     62 Trempealeau N9UNW 1/24/10 FM   X          
27 Jackson N9PTZ 6/8/10 SSB   X           63 Vernon W9FZ/R 1/24/10 SSB X X X X      
28 Jefferson                     64 Vilas W9FZ/R 07/16/11 SSB   X          
29 Juneau N9PTZ/M 6/12/10 SSB   X           65 Walworth K9KEU 7/29/10 SSB   X          
30 Kenosha                     66 Washburn W9FZ/R 07/24/11 SSB X X X        
31 Kewaunee W9BLI 07/18/10 SSB   X;           67 Washington W9GA 06/13/10 SSB X X X X      
32 La Crosse W9RPM 6/12/11 SSB X X X X       68 Waukesha                    
33 Lafayette W9FZ/R 9/20/10 SSB   X           69 Waupaca W9FZ/M 7/28/10 SSB   X          
34 Langlade                     70 Waushara W9FZ/M 7/28/10 SSB   X          
35 Lincoln W9FZ/R 07/16/11 SSB X X X X       71 Winnebago W9FZ/M 7/28/10 SSB X* X       *= K9IK
36 Manitowoc W9FZ/R 06/11/11 SSB   X X X       72 Wood WB9LYH 07/16/11 SSB X X X*     *=W9 FZ/R
@ TOTAL COLUMN   - 12 28 12 12       @ TOTAL COLUMN - = 14 29 17 11      
Check one only Check one only
  Initial Application (20 counties) X All Bands(6M-26,2M-57,1.25M-29,70M-23)
  Endorsement Application (additional 10, 20, 30, or 40 counties)   Single Band Endorsement                
  Final Application (all 72 counties) Email address
I affirm that I have observed all award rules. I certify that these contacts occurred as
                          indicated. I also agree to be bound by the decisions of the award manager and that all
Full Name Call Phone such decisions are final.
                                             
Address City State Zip Applicant's Signature Date