10-10 Bar Awards Application

Please print/type your Name: 						 Call: 					

Address: 									 Ten-Ten #: 				

City: 								 State or Country: 					

Postal Zip Code: 				 E-mail Address: 							

Certificate or Bar applying for (Highlight/Underline the Applicable Bar Level)

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 free. Upgrades are free.    Please include
    E-mail address if you have one.
• 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.    It is recommended all applications be sent via email if at all possible.
• 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. 
• QSL card confirmation is NOT required for the BAR award program.
• 10-10 award general rules and requirements are applicable.

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: 						

© Copyright 2013 - 2022 10-10 International.

Page 1

10-10 Bar Awards Claim Sheet Worksheet

Contact#	Ten-Ten#	Call Sign	Operator Name	DX Country or State	Date	
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Page 2

10-10 Bar Awards Claim Sheet Worksheet

Contact#	Ten-Ten#	Call Sign	Operator Name	DX Country or State	Date	
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Page 3

10-10 Bar Awards Claim Sheet Worksheet

Contact#	Ten-Ten#	Call Sign	Operator Name	DX Country or State	Date	
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Page 4
10-10 Bar Awards Claim Sheet Worksheet

Contact#	Ten-Ten#	Call Sign	Operator Name	DX Country or State	Date	
76						
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100						

Bar Applications 100-900 to:
Dan Morris KZ3T #41015
3162 Covington Way
Lenoir, NC 28645 USA
E-mail: dbmorris315@gmail.com
	
Bar Applications 1000+ to:
Rob Comer KE0MIZ  #77647
12932 Palomino Place
Wellington Colorado 80549
E-Mail: rdcromer@rcccomps.net

Page 5