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 Membership Renewal Form

 Ten-Ten International Net, Inc.



This is the first step of a two step process, this form is used to verify your membership information once this form is complete you will be directed to the shopping cart to complete the process.


As of November 29th 2010, Ten-Ten International Net has contracted PayPal to handle our secure transactions, this is the most recognized firm available for this service. When adding your purchases to the shopping cart you have two choices for payment. The primary being Credit Card, to accomplish this simply click on this logo that will be displayed on the check out page of the shopping cart:


To avoid confusion unless you plan to pay via check or money order do no use the "go to checkout" link, just click on the PayPal image.

The other payment option is Check or Money Order, to accomplish this you must log into the shopping cart. If you already have an account use your password that is on file, if you don't have an account you will have to create one to make you purchase. Please note all funds are US.
 

All Fields Required unless otherwise noted

Please Note that Club Stations may not apply for life membership

Name:   Callsign:    Ten-Ten:

 

Address:

 

Year of Birth (not required for Club stations):

 

City:   State or Country:

 

Postal/Zip Code:   Email Address:

 

NOTE: 10-10, NUMBER, CALL, NAME, MEMBERSHIP STATUS AND EMAIL 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 (typing your name on this form is the equivalent to your personal signature):

 

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


Updated 12/10/2014
Copyright © Ten-Ten International Net, Inc. 2011