ffiSA}{ JOSE STAMP CLTEW Apptication for membership
City. State_ Zip
Accepted
PreeldenUSecretary
I hereby apply for membership in the San Jose Stamp Club, and agree to be bound by it's
Constitution and By-Laws; and hereby tender $_in payment for
-
months.
Dues are $12.00 per year and juniors are $6.00 per year prorated monthly.
PLEASE READ CAREFULLY AND ryPE OR PRINT . PLEASE. DO NOT USE PENCIL
Name Home phone
HomeAddress
BusinessAddress Phone
E-mail FAX
Please inform the Secretary of any changes in the above information.
tfttttftttotooottPerconal Data
Name as you want it to appear on roster, etc.
Additionalfamily members (indicate relationship) joining at this time (No additional charge.):
1. 2.
4.3.
Philatelic societies of which you are a member: APS tr ATA tr
Stamp collecting interests:
Opportunities for service: Your help is needed to keep the club functioning effectively and to helpmake it as interesting and helpful as possible to the members. ln what areas are you interestedand/or qualified in helping? Please indicate:
1. Filatelic Fiesta Committee 2. Serve as an officer 3. Publicity & promotion
4. Reception (sign in table) 5. Newsletter (editorial) 6. Program
7. Serve on a committee 8. Help with youth & novices 9. Other
Comments
Signed: Date
Mailwith fees to San Jose Stamp Club, P.O. Box 730993, San Jose, CA 95173; or bring to meeting.See our website at http://filatelicfiesta.org for additional information. Thank you.Revised Soptcmber 2009
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