OMISS Oldtimers Award Work Sheet
Name: _____________________________ Callsign: _______________________
Date: ______________________________ Segment 0001-1000 1 2 3 4 5 1001-1500 1 2 3 4 5 1501-2000 1 2 3 4 5 2001-2500 1 2 3 4 5 2501-2999 1 2 3 4 5
WA7HYD 20070312 v1.0
OMISS #: ___________________________
Date
Band / Net
Time
Call
OM #