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HAGERSTOWN STAMP CLUB

 

Membership Application

Date: _________________________

 

I, __________________________________________________, hereby apply for membership in the HAGERSTOWN STAMP CLUB and submit $4.00 for my annual dues.

 

NAME _________________________________________________________________

            (Please Print)

 

ADDRESS______________________________________________________________

 

CITY____________________________________STATE___________ ZIP__________

 

TELEPHONE_____________________________

 

EMAIL ADDRESS _______________________________________________________

 

Collecting Specialties ______________________________________________________

________________________________________________________________________________________________________________________________________________

 

Please List your Philatelic Memberships and Member Number.

 

Philatelic Memberships

Member Number

APS

 

AFDCS

 

ATA

 

BIA

 

JPA

 

PNC3

 

 

 

 

Sponsoring Member_______________________________________________________

 

Send Application and $4.00 to:

MEMBERSHIP

HAGERSTOWN STAMP CLUB

P O BOX 2425

HAGERSTOWN, MD 21741-2425

FOR CLUB USE ONLY

 

DATE:

MEMBER #:

AMOUNT REC’D:

 

 


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