Appalachian Trail Award    Log for the Trail WAS Award

Your Call ____________

State Call Date Time UTC Band Mode Your QTH on the

Appalachian Trail

Alabama (AL) _________ ____/____/______ ____:____ ____ _____ _____________________________
Alaska (AK) _________ ____/____/______ ____:____ ____ _____ _____________________________
Arizona (AZ) _________ ____/____/______ ____:____ ____ _____ _____________________________
Arkansas (AR) _________ ____/____/______ ____:____ ____ _____ _____________________________
California (CA) _________ ____/____/______ ____:____ ____ _____ _____________________________
Colorado (CO) _________ ____/____/______ ____:____ ____ _____ _____________________________
Connecticut (CT) _________ ____/____/______ ____:____ ____ _____ _____________________________
Delaware (DE) _________ ____/____/______ ____:____ ____ _____ _____________________________
Florida (FL) _________ ____/____/______ ____:____ ____ _____ _____________________________
Georgia (GA) _________ ____/____/______ ____:____ ____ _____ _____________________________
Hawaii (HI) _________ ____/____/______ ____:____ ____ _____ _____________________________
Idaho (ID) _________ ____/____/______ ____:____ ____ _____ _____________________________
Illinois (IL) _________ ____/____/______ ____:____ ____ _____ _____________________________
Indiana (IN) _________ ____/____/______ ____:____ ____ _____ _____________________________
Iowa (IA) _________ ____/____/______ ____:____ ____ _____ _____________________________
Kansas (KS) _________ ____/____/______ ____:____ ____ _____ _____________________________
Kentucky (KY) _________ ____/____/______ ____:____ ____ _____ _____________________________
Louisiana (LA) _________ ____/____/______ ____:____ ____ _____ _____________________________
Maine (ME) _________ ____/____/______ ____:____ ____ _____ _____________________________
Maryland (MD) _________ ____/____/______ ____:____ ____ _____ _____________________________
Massachusetts (MA) _________ ____/____/______ ____:____ ____ _____ _____________________________

 

 

Appalachian Trail Award    Log for the Trail WAS Award

Your Call ____________

State Call Date Time UTC Band Mode Your QTH on the

Appalachian Trail

Michigan (MI) _________ ____/____/______ ____:____ ____ _____ _____________________________
Minnesota (MN) _________ ____/____/______ ____:____ ____ _____ _____________________________
Mississippi (MS) _________ ____/____/______ ____:____ ____ _____ _____________________________
Missouri (MO) _________ ____/____/______ ____:____ ____ _____ _____________________________
Montana (MT) _________ ____/____/______ ____:____ ____ _____ _____________________________
Nebraska (NE) _________ ____/____/______ ____:____ ____ _____ _____________________________
Nevada (NV) _________ ____/____/______ ____:____ ____ _____ _____________________________
New Hampshire (NH) _________ ____/____/______ ____:____ ____ _____ _____________________________
New Jersey (NJ) _________ ____/____/______ ____:____ ____ _____ _____________________________
New Mexico (NM) _________ ____/____/______ ____:____ ____ _____ _____________________________
North Carolina (NC) _________ ____/____/______ ____:____ ____ _____ _____________________________
North Dakota (ND) _________ ____/____/______ ____:____ ____ _____ _____________________________
New York (NY) _________ ____/____/______ ____:____ ____ _____ _____________________________

 

 

Appalachian Trail Award    Log for the Trail WAS Award

Your Call ____________

State Call Date Time UTC Band Mode Your QTH on the

Appalachian Trail

Ohio (OH) _________ ____/____/______ ____:____ ____ _____ _____________________________
Oklahoma (OK) _________ ____/____/______ ____:____ ____ _____ _____________________________
Oregon (OR) _________ ____/____/______ ____:____ ____ _____ _____________________________
Pennsylvania (PA) _________ ____/____/______ ____:____ ____ _____ _____________________________
Rhode Island (RI) _________ ____/____/______ ____:____ ____ _____ _____________________________
South Carolina (SC) _________ ____/____/______ ____:____ ____ _____ _____________________________
South Dakota (SD) _________ ____/____/______ ____:____ ____ _____ _____________________________
Tennessee (TN) _________ ____/____/______ ____:____ ____ _____ _____________________________
Texas (TX) _________ ____/____/______ ____:____ ____ _____ _____________________________
Utah (UT) _________ ____/____/______ ____:____ ____ _____ _____________________________
Vermont (VT) _________ ____/____/______ ____:____ ____ _____ _____________________________
Virginia (VA) _________ ____/____/______ ____:____ ____ _____ _____________________________
Washington (WA) _________ ____/____/______ ____:____ ____ _____ _____________________________
West Virginia (WV) _________ ____/____/______ ____:____ ____ _____ _____________________________
Wisconsin (WI) _________ ____/____/______ ____:____ ____ _____ _____________________________
Wyoming (WY) _________ ____/____/______ ____:____ ____ _____ _____________________________

 

Appalachian Trail Award    Log for the Trail WAS Award

Your Call ____________

 

 

Name ______________________________________________    Call ________________

Address __________________________________________________________________

City ________________________________________________

State _____    Zip Code _________-______

 "I have observed all Appalachian Trail Award rules as well as all regulations for Amateur Radio in my country. My report is correct and true to the best of my knowledge. I agree to be bound by the decisions of the Eastern PA QRP Club Committee"

 Date ___/___/____    Signature __________________________________________