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Printable Membership Application Form for The Meter Stamp Society
See below for instructions on using this form.
Please print plainly, legibly, and dark.
Use your browser's 'Back' button to return to the last page you were viewing.
| 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.
The membership year runs from January 1 to December 31
| Dues For | One Year | Two Years |
| US Applications | $20.00 | $38.00 |
Rest of the World (via Air Mail) | $36.00 | $70.00 |
| 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
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_____ 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
All images and logos are the property of the Meter Stamp Society
© ® 2004-2005 All Rights Reserved
Original graphics & site design by Developpé Graphics & Design
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