10-10 WAS Awards Application

Please print your Name: 							 Call: 					

Address: 									 Ten-Ten #: 				

City: 								 State or Country: 					

Postal Zip Code: 				 E-mail Address: 							

Rules:
Applicants must work a 10-10 Member in each of the 50 states. Please include your E-mail address, if you have one.

Detailed data submitted should be listed alphabetically by state. Each contact must be on
a separate line.

Worked All States QSO's are allowed only from within a 50mile radius of the applicant's home QTH.

10-10 award general rules and requirements are applicable.

Effective -January 1, 2018

Mail to:
Worked All States Manager

Eva M. Donaldson, WB0CON, #53964
12933 W. Montana Drive
Lakewood, CO 80228

 E-mail: wb0con@comcast.net

© Copyright 2008  - 2018 10-10 International.
Revision 1.1 2018-01-15

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Worked All States Worksheet
STATE	CALL SIGN	TEN-TEN #	NAME, TOWN, STATE & COUNTRY	DATE	
AK					
AL					
AR					
AZ					
CA					
CO					
CT					
DE					
FL					
GA					
HI					
IA					
ID					
IL					
IN					
KS					
KY					
LA					
MA					
MD					
ME					
MI					
MN					
MO					
MS					
MT					
NC					
ND					
NE					
NH					
NJ					
NM					
NV					
NY					
OH					
OK					
OR					
PA					
RI					
SC					
SD					
TN					
TX					
UT					
VA					
VT					
WA					
WI					
WY					
WV					

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