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Movie Machine Society - Membership Application

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Movie Machine Society
MEMBERSHIP APPLICATION

Name:_____________________________________________

Address:__________________________________________

Phone: (___)_______  FAX: (___)_______  Email:_______________________

Are you a collector?___  Researcher?___  Academic?___  Dealer?___

Areas of Special Interest:____________________________________________________________________

________________________________________________________________________________

If you are a collector, tell us about your collection:__________________________________________

________________________________________________________________________________

How did you learn about the Society?____________________________________________

Society Annual Dues are payable on January 1st each year for all calendar year. Members joining during the year are entitled to all issues of the quarterly Sixteen Frames publication for that year.

Current annual Dues including Sixteen Frames: USA $25.00; Outside USA $30.00

Print out this form and mail with dues payment to:

Paul Pottash Sec/Treas
1414 Dorset Lane, Wynnewood, PA 19096



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