St. Helena, Ascension and Tristan da Cunha Philatelic Society
Membership Application Form

Our membership year begins in January, and individuals joining after that normally receive all of the back issues of South Atlantic Chronicle for the year. However, individuals joining us late in the year, say October or later, are given the option of starting their memberships with the upcoming February issue of the South Atlantic Chronicle.

Dues may be paid by check in U.S. dollars or in sterling: all checks should be made payable to the "St. Helena Philatelic Society."

Because PayPal imposes transaction fees, when paying by PayPal, our annual dues are $28.50 for members residing in the U.S.A. and Canada and $34.00 for members residing in any other country.
If you wish to pay your dues by PayPal, please go to PayPal after submitting this form, and make your payment to Ted Cookson (President) at: tedcookson@gmail.com. Please quote your full name and date of this application to ensure we can identify your payment correctly.

If paying by check, our annual dues are $27.00 for members residing in the U. S. and Canada and $32.00 for members residing in any other country.

Life Memberships are available; please contact the Society's Secretary (name and address below) regarding Life Membership fees.

ALL FIELDS MARKED WITH AN * MUST BE COMPLETED

Family Name * 
First Name(s) * 
Address1 * 
Address2
City/Suburb * 
State/County *  Zip/Post Code * 
Country * 
Year of Birth (if under 18)
Occupation
APS No. (Optional)
Email  


Omit my contact address in membership lists and reports        Yes   No
Omit my email address in membership lists and reports           Yes   No

Would you be willing to write articles of interest for publication in the "South Atlantic Chronicle"?  Yes   No
 
(Items not connected to philately are welcomed.)

If you are a member of any other philatelic societies, please list them below (optional):

Please check each of your collecting interests in the Society's area
  St. Helena       Ascension       Tristan da Cunha  

Special collecting interests (e.g. postal history, cancels, etc. (optional):