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\documentclass { article}
\usepackage { multirow,tabularx}
\usepackage { amsmath}
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\usepackage { graphicx}
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\usepackage { amssymb}
\pagestyle { empty}
\setlength \parindent { 0pt}
\usepackage [paperwidth=5in,
paperheight=3.5in,
left=0.10in,
right=0.10in,
top=0.10in,
bottom=0.10in]{ geometry}
\renewcommand { \arraystretch } { 1.3}
\begin { document}
%73 from KE8QZC of Fairmont, WV
\vspace * { 0.01in}
\begin { center}
\begin { tabular} { |l|l|l|l|l|l|l|}
\hline
\multicolumn { 2} { |c|} { QSO with} & D / M / Y & UTC & Freq & RST & Mode \\
\hline
\multicolumn { 2} { |c|} { \phantom { .....} } & & & & & \\
\hline
\multicolumn { 2} { |c|} { Rig} & \multicolumn { 2} { c|} { Antenna} & Watts & QSL & Commit* \\
\hline
\multicolumn { 2} { |c|} { \phantom { .....} } & \multicolumn { 2} { c|} { \phantom { .} } & & PSE: $ \square $ TNX: $ \square $ & \\
\hline
\multicolumn { 5} { |c|} { QTH during contact} & \multicolumn { 2} { c|} { Grid square} \\
\hline
\multicolumn { 5} { |c|} { \phantom { .} } & \multicolumn { 2} { c|} { \phantom { .} } \\
\hline
\end { tabular}
\end { center}
\vfill
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\hspace { 5pt} \includegraphics [scale=0.3] { w8sp.png} \\
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{ \small *the front of this QSL card is unique to your callsign -- see the webpage \\ \texttt { https://github.com/tomcuchta/hypergeometricqsl} for an explanation!}
\end { document}