Other Philatelic Societies to which you belong:

APS: _____ ATA: _____

Other:

Have you ever been expelled from or refused admission to any philatelic society?

No: _____ Yes: _____

If 'Yes', please explain:

Optional Information:

Primary Phone:
2nd Phone:
Fax:
Email Address:
Age:
Occupation:

I certify that the information on this application is accurate.

Signature:

MSS membership is based on a calendar year. If you join the society after the beginning of the year, you will receive the back issues of the Quarterly Bulletin for that year and a renewal notice in November. If you join the society in the last quarter of the year, your membership will be active beginning with January of the upcoming year.

 

Dues For	One Year	Two Years
US First Class Mail	$20.00	$38.00
International First Class (via Air Mail)	$40.00	$78.00
Web Delivery	$8.00	$16.00
Dues must be in U.S. funds drawn on a U.S. bank, or an International Money Order

I would like to donate an additional amount to the Society: $____________
Donors will be acknowledged in the Bulletin as follows:
Contributor ($1 - $19)     Sustaining ($20 - $49)
Patron ($50 - $99)     Benefactor ($100 and up)
_____ Check here if you do NOT wish your gift announced in the Bulletin

Register your collecting interests:

_____ USA by meter stamp type _____ USA by meter number	_____ USA by town _____ USA by postal history
_____ Other country/countries:
_____ Slogans by topic:
_____ Other specialty/specialties: