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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
If you have trouble printing this form click here for a print friendly form.
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