Printable Membership Application Form for The Meter Stamp Society
See below for instructions on using this form.
Please print plainly, legibly, and dark.
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| Your Name: | |
| Mailing Address: | |
Other Philatelic Societies to which you belong:
APS: _____
ATA: _____
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Other: |
Have you ever been expelled from or refused admission to any philatelic society?
|
No: _____
Yes: _____
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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.
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
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_____ Other country/countries:
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_____ Slogans by topic:
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_____ Other specialty/specialties:
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Print & fill-out this page, enclose your payment for dues, then mail to:
MSS Secretary/Treasurer
Douglas A. Kelsey
PO Box 16278
Tucson, AZ 85732-6278
USA
www.MeterStampSociety.com email:
admin(at)meterstampsociety.com
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© ® 2004-2009 All Rights Reserved
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