Scout Award Membership Application

Scouts on Ten Award Application

For Scouts, Previous Scouts, and Scout Leaders

Ten-Ten International Net, Inc.

Once this form is completed it will be sent to the Scout Awards Manager who will contact you with your Award information. You must be a member of Ten Ten and your membership must be current to apply. Club stations do not qualify.

All Fields Required unless otherwise noted

Name:

Callsign:

Address:

Ten Ten Number:

City:

State or Country:

Postal/Zip Code:

Email Address:

Please Select All That Apply

Current Scout:

Previous Scout:

Scout Leader:

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