10-10 Bar Awards 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:


© Copyright 2013 10-10 International.


Page 1


10-10 Bar Awards Claim Sheet Worksheet



Contact#

Call Sign

Ten-Ten #

Operator Name

DX Country or State

Date

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10-10 Bar Awards Claim Sheet Worksheet



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Call Sign

Ten-Ten #

Operator Name

DX Country or State

Date

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Page 3


10-10 Bar Awards Claim Sheet Worksheet



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Call Sign

Ten-Ten #

Operator Name

DX Country or State

Date

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Page 4

10-10 Bar Awards Claim Sheet Worksheet



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Call Sign

Ten-Ten #

Operator Name

DX Country or State

Date

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Bar Applications 100-900 to:

Dan Morris KZ3T #41015

3162 Covington Way

Lenoir, NC 28645 USA

E-mail: dbmorris315@gmail.com



Bar Applications 1000+ to:

Marilyn Webb WM2W #76400

1103 Fulford Road

Monticello, FL 32344

E-Mail: mwebb1010@yahoo.com




Page 5