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Welcome to 10-10 International

WOULD YOU LIKE TO JOIN 10-10?
Here is what you need:
1. You must hold a valid amateur operator license.
2. Your valid amateur operator license MUST authorize or qualify you for unsupervised transmitting operations in the ten meter amateur band under your own personal call sign.
3. You must make contact with ten members of 10-10 and submit a log listing all contacts, their 10-10 number, call sign, name, date of contact, and QTH (state/province/country). The contact form and membership application is provided on the page that follows.
4. You must remit dues for one or more year’s full membership. Fee schedule and payment information can be found in Section 2 of the page that follows.

TYPES OF MEMBERSHIPS

To become a member either fill out the form on the following page and mail to the Data Manager at the indicated address or go online to the 10-10 web page, www.ten-ten.org and follow the links from ‘membership’ to ‘application’ and select the membership category.
Primary Membership
Primary membership is available with yearly dues, although
there is a special incentive available when you pay for three years at once.
Family Membership
Family membership consists of a primary member and one or more family members who qualify as a 10-10 member (has made the necessary 10 contacts) and who reside at the same location and postal address. Family memberships run concurrently with that of the primary member. Add $5 for each additional family member for each year. Only the primary member will receive a copy of the 10-10 News.
Life Membership
Life membership is available and may be paid in one lump sum or spread across two or three years. For information refer to the 'Life Membership Application' form on the web or contact the 10-10 Data Manager
Senior Life Membership
Senior life membership is available to anyone who is currently 65 years of age or older. Payment can be made in one lump sum or over a one year period. For information refer to the 'Life Membership Application' form on the web or contact the 10-10 Data Manager
Family Life Membership is no longer available.
Club Membership
Club membership is available to any Amateur Radio Organization which holds a valid Amateur Radio License. Application must be made by the club trustee. Dues are the same as the Primary member. No family or life memberships are available. Clubs have all the same rights and privileges as primary members except the right to vote in elections.

Electronic Membership

Electronic Membership is available to anyone who

qualifies for any of the types of membership listed previously. Electronic membership means that all communications, including the 10-10 NEWS, from 10-10

to the qualifying member will be conducted via email distribution. The exception to this policy is when a

member qualifies for a certificate from either one of the various QSO Parties or from one of the Awards programs.

MEMBERSHIP RENEWALS
Either fill out on the following page the top half of Section 1, including your 10-10 number and Section 2 and mail to the

Data Manager at the indicated address or go online to the 10-10 web page www.ten-ten.org and follow the links from

‘membership’ to ‘renewals’ and select the membership category.

DATA MANAGER SERVICES
Call/Name/Address Changes
All changes are to be sent to the 10-10 Data Manager.

Please include your address label (or a copy) with

necessary corrections. This also can be accomplished at www.ten-ten.org using the membership/update link.

All payments may be made by Check, Money Order

or IRC’s ($1USD per IRC). Due to banking regulations Credit Cards cannot be accepted for merchandise. Membership Services and Scholarship Donations can be made via credit card using the secure shopping cart at www.ten-ten.org
Mail to:

Data Manager, 10-10 International Net, Inc.
1349 Vernon Terrace
San Mateo, CA 94402-3331

SCHOLARSHIP DONATIONS
Donations to the 10-10 Scholarship Foundation are

requested from each member on an annual basis to help

fund the four $1500 10-10 scholarships. For donations

of $15 you will receive a current year’s lapel pin as a

thank you gift, for $25 or more a second pin from a previous year will be sent. Your check should be made payable to the 10-10 Scholarship Foundation and send to:

Either the Data Manager or the Foundation Manager

Larry Berger, WA2SUH
10-10 Scholarship Manager
9 Nancy Blvd.
Merrick, NY 11566-3119

SECTION 1 - MEMBERSHIP APPLICATION AND CONTACT LOG

NOTE: If this membership application is being used for renewal purposes, please enter your 10-10 number here

Please Print Your Name Call

Address Year of Birth

City State or Country

Postal/Zip Code +4 E-mail Address

Can Correspondence with 10-10 International Net, Inc. be done via your email address YES NO?

NOTE: 10-10 NUMBER, CALL, NAME, ADDRESS, MEMBERSHIP STATUS AND E-MAIL ADDRESS IS MADE AVAILABLE TO ALL MEMBERS VIA A MEMBERSHIP ROSTER. ALL OTHER INFORMATION IS KEPT CONFIDENTIAL AND NOT DISCLOSED EXCEPT BY ORDER OF A LAWFUL COURT.

I certify that I meet the membership requirements of 10-10

	10-10 NUMBER	CALL SIGN	OPERATOR’S NAME	DATE OF CONTACT	OTH (State, Province or DX Country)
1
2
3
4
5
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7
8
9
10

SECTION 2 - FEE SCHEDULE AND PAYMENT INFORMATION

(Check appropriate items)

Ten-Ten Fee Schedule (eff 4/1/12)	US Zip Codes	Canada/Mexico	All other DX	Electronic Delivery
Primary Member – New/Renewal Clubs – receiving Ten Ten News per Year	?$15.00	?$20.00	?$30.00	?$10.00
Primary Member – New/Renewal Clubs – receiving Ten Ten News 3 Year Incentive	?$40.00	?$55.00 ?	?$80.00 ?	?$25.00 ?
Family Member -New/Renewal Clubs – Without Ten Ten News Per Year	?$5.00	?$5.00	?$5.00	Not Available
Life Membership	?$500.00	?$700.00	?$1,050.00	?$360.00
Senior Life (65 years or older)	?$150.00	?$350.00	?$525.00	?$120.00
Scholarship Foundation Donation	$	$	$______	$
Enter Total

Method of Payment

Do not send cash. Make checks payable to 10-10 International Net, Inc. Please put your call and/or 10-10 number on the face of the check. For DX members all amounts Shown are in US Dollars. DX members may pay by International Money Order substituting IRC's at the rate of 1IRC for each US dollar.

For credit card payments, acceptable cards are AMEX, Discover, MasterCard and VISA. Please use the secure shopping cart at www.ten-ten.org. 10-10 is using Pay Pal to process credit card transaction; however, it is not necessary to have Pay Pal account to be able to use your credit card. For more detail refer to the “shopping cart help" on the 10-10 web's main page.