Entry Level Life Membership Application


This form is for those Amateurs that desire to become Life Members at the time of initial membership. This is a two step process. First you must complete this form to apply for membership. Once this form is completed it will be sent to the Data Manager for processing, he will in turn send you a special link to use in the completion of the life membership purchase. After that transaction is completed the data manager will send your personal membership information including your own Ten - Ten number.

This  form will not render properly on phones or tablets.  Please use a desktop comptuer with Edge, Firefox or Google Chrome.

Club Stations or Family Memberships cannot apply for life membership

NOTE: ALL MEMBERSHIP DATA IS PROTECTED BY THE PRIVACY ACT OF 1974 AND WHERE APPLICABLE THE GENERAL DATA PROTECTION REGULATION. THE ONLY DATA AVAILABLE THROUGH LOOK UP SOURCES IS CONSIDER NON PRIVATE.

Contact List -- 10 Contacts with 1010 Members

For the Operator's Name in the form Below, please enter the one they used on the air during the contact. Do not use the one found in online services.  Please Note: As of November 8 2013 KC4TVZ is no longer a member of Ten-Ten,  Please do not submit his information on this application or any awards.

Updated 04/23/2024
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