BAR AWARD APPLICATION

Please print your Name:                                                                                  Call:                                                   

Address:                                                                                                           Ten-Ten #:                                        

City:                                                                                          State or Country:                                                       

Postal Zip Code:                                              E-mail Address:                                                                                

Certificate or Bar applying for (Circle One)

100	200	300	400	500
600	700	800	900	1000
2500	5000	10000	12500	15000
17500	20000	22500	25000

Rules:

• All contacts must include call sign, name, QTH, and 10-10#. Cost is free. Upgrades are
SASE USA and $1.00 for DX. Please include your E-mail address, if you have one.
• Each bar application must contain exactly 100 contacts, each on a separate line showing 10-10 number, callsign,
name state or country and date of contact.
• Contact dates are mandatory.
• Certificates, rather than endorsements, are available for levels 1000, 2500, 5000, 7500, 10,000 and every 2500
contacts thereafter.
• 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.
• Entries for each application must be listed in ascending order of 10-10 numbers.
• A 10-10 number may be used only once in a bar award program. Only 5 errors are allowed on a bar application.
• QSL card confirmation is NOT required for the BAR award program.
• 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 Bar program 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:                                                             

Bar Applications 100-900 to: Dan Morris KZ3T #41015 2069 21st SE Apt N Hickory, NC 28602 E-mail: dbm72941mo@roadrunner.com

Bar Applications 1000+ to: Doris Slye N3TGB #68129 708 Doages Drive Millersville, MD 21108-2132 E-mail: n3tgb@aol.com

 

Contact#	Call Sign	Ten-Ten #	Operator Name	DX Country or State	Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

 

Contact#	Call Sign	Ten-Ten #	Operator Name	DX Country or State	Date
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50

 

Contact#	Call Sign	Ten-Ten #	Operator Name	DX Country or State	Date
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75

 

Contact#	Call Sign	Ten-Ten #	Operator Name	DX Country or State	Date
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100