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 $2.00
·
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.
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:
____________
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Operator
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DX Country or State |
Date |
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Contact
# |
Call
Sign |
Ten-Ten
Number |
Operator
Name |
DX Country or State |
Date |