AUSTRIA PHILATELIC SOCIETY (US)

MEMBERSHIP APPLICATION

PLEASE MAIL THIS APPLICATION WITH YOUR DUES PAYMENT TO


Louis Ricker
Secretary/Treasurer
PO Box 4015
Elwyn PA 19063-7015

 

Name:Last ________________________ First ___________________Middle Initial. ____ Mr.___Mrs.___Ms.___
Address: ___________________________________________________________________________
City: ____________________________________ State: _______ Zip Code __________ + ________
Home Phone: (______)______________________
Primary Collecting Interest: __________________________________________________________
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Email address: ____________________________

(Please place check mark next to all that apply)

I would be interested as a volunteer to: 1. Translate articles for the Journal____ 2. Write articles for the Journal____  3. Share favorite stamps, covers, etc. via the Journal____ 4. Serve as club auctioneer____ Other - please explain.

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Your comments: _______________________________________________________________________
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Please enclose your payment as appropriate - your membership will start as of the first of the next calendar quarter. Payment postmarked by:
Dec - Feb: In US - $16.00 Others $23.00         Mar - May: In US - $12.00 Others $18.00
Jun - Aug: In US -   $ 8.00 Others $13.00         Sep - Nov:  In US - $20.00 Others $30.00 *

* (includes the following year)

 

Web Application
03/08/2013