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