Print out this Application for Membership
and Mail to:
Tom Cossaboom, SCP Secretary,
P O Box 4124, Prescott, AZ 86302
or 2012 SCP Membership Brochure which includes a membership application.
or Apply for Membership or Renew Membership Online
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):
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$25.00 for annual dues ~ Regular Membership. This includes a one-year subscription to the Czechoslovak Specialist. |
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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. |
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$3.00 for annual dues ~ Youth Membership. Limited to persons under 18 years of age (please list Date of Birth) |
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Additional contribution |
Foreign members residing outside the US, please add:
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$12.00 for delivery (Canada & Mexico Only) |
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$20.00 for airmail delivery |
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:
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___________________________________________________________________________
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How did you find out about SCP?: ___________________________________________________________________________
Applicant Signature:
___________________________________________________________________________
