Join by Mail

Print out this Application for Membership and Mail to: Tom Cossaboom, SCP Secretary,
P O Box 4124, Prescott, AZ  86302

OR download the 2014 Membership Brochure
which includes a membership application.
OR  Apply for Membership or Renew Membership Online

Date: ______________________
I hereby apply for membership in the Society for Czechoslovak Philately, Inc. and , if approved, agree to abide by the Society’s By-Laws. (Check one of the following): 

$25.00 for annual dues ~ Regular Membership. This includes a one-year subscription to the Czechoslovak Specialist.

$20.00 for annual dues ~ ONLINE only membership. This includes a one-year subscription to the Czechoslovak Specialist electronic version (downloadable pdf) only.

50.00 for annual dues ~ Patron Membership. This includes a one-year subscription to the Czechoslovak Specialist and a bound volume of all issues for the subscription year.

$3.00 for annual dues ~ Youth Membership. Limited to persons under 18 years of age (please list Date of Birth)

$20.00 – Foreign Members residing outside the US, please add $20 for airmail deliveryAdditional contribution

Total enclosed: ____________________

Remit by check or money order only. DO NOT send cash or stamps.

Name: ___________________________         Age: ______
Street: ___________________________________________________________________________

City: ___________________________ State/Region: ____________
Zip: ________________

Telephone: ___________________Fax: ___________________

Email: ________________________________________________________________________________________________________________________________

Collecting Interests: ________________________________________________________________________________________________________________________________

Are you a Member of the APS (Yes or No)

Membership in other societies:

________________________________________________________________________________________________________________________________________________________________________________________________

How did you find out about SCP?: ________________________________________________________________

Applicant Signature:________________________________________________________