Welcome to 10-10 International

WPX AWARD APPLICATION

Please print your Name:                                                                                  Call:                                                   

Address:                                                                                                           Ten-Ten #:                                        

City:                                                                                          State or Country:                                                       

Postal Zip Code:                                              E-mail Address:                                                                                

Certificate applying for (Circle One)

Basic 100

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Rules:
·  All contacts must include call sign, name, QTH, and 10-10#. Cost is $2.00 USA and $3.00 for DX. Upgrades are SASE USA and $1.00 for DX. Please include your E-mail address, if you have one.
·  A call sign Prefix includes the right most number and all numbers and letters that precede it. For example, W6xxx, WB6xxx,
WN6xxx, 4X6xxx, etc. would all be a different Prefix.
·  Portable stations that sign with a suffix (/XX) may be used for the Prefix of the portable call. For example, W6xxx/HCl may be
used for the HCl prefix.
·  A certificate will be issued for the first l00 Prefixes. Upgrade gold bars will be issued for each additional 100 prefixes.
·  All applications must be submitted on the official forms available from the Award Manager or the 10-10 web site. A computer
printout with the same information may be submitted in lieu of the official application.
·  All call signs (entire call sign) must be in alphabetical order by Prefix.
·  QSL card confirmation is NOT required for the WPX award
·  10-10 award general rules and requirements are applicable.

DECLARATION:
By signing this application, I hereby certify that I have personally made contact with the Stations listed and the station listed gave me his 10-10 number during the contact. My logs Will be made available to the 10 -10 Prefix Manager if so requested.

I have enclosed a copy of my Membership Card, or address label from the latest copy of The 10-10 International News, showing my status as a paid up member of Ten-Ten.

 

Signature:                                                                 Date:                              

Send Application To:
Ed Bryant, KM5FF, #50356
9001 Sunbow Ave SW
Albuquerque, NM 87121
E-mail to: elbble@gmail.com

 

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