| Our year begins in January. Annual Society dues are as
follows: $27.00 for members residing in the U. S. and Canada and $32 for
members residing in any other country.
To join our Society, please print
this form, provide the information requested, and mail the completed
form, together with the appropriate dues to the St. Helena, Ascension,
and Tristan da Cunha Philatelic Society's Treasurer:
Mr. Bradley W. Brunsell
Post Office Box 12
MILTON, MA 02186-0002
U.S.A.
Please make your check payable to the 'St. Helena, Ascension,
and Tristan da Cunha Philatelic Society'.
St. Helena, Ascension, and Tristan da Cunha
Philatelic Society
FOUNDED IN 1976
AMERICAN PHILATELIC SOCIETY
AFFILIATE NO. 85
Membership Application
for Submission by Traditional Mail
APPLICANT'S NAME:.......................................................................
MAILING ADDRESS:
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(Please ensure you provide Zip/Post Code and Country)
YEAR OF BIRTH (If under 18):
OCCUPATION:
APS No. (Optional):
E-mail Address:
Can you write articles of interest for publication in South Atlantic
Chronicle? [Yes]/[No]
MEMBERSHIP IN OTHER PHILATELIC SOCIETIES:
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COLLECTING INTERESTS IN SOCIETY'S AREA: (Check as appropriate.)
[ ] ST. HELENA
[ ] ASCENSION
[ ] TRISTAN DA CUNHA
SPECIAL COLLECTING INTERESTS: (Postal history, etc.)
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| DUES ENCLOSED AS FOLLOWS: |
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PLEASE CHECK IF DESIRED:
[ ] Please send me details concerning Life Membership in the Society.
[ ] Please OMIT my postal address in the listing of new members published in
South
Atlantic Chronicle.
[ ] Please OMIT my email address in the listing of new members published in
South
Atlantic Chronicle.
NOMINATED BY (OPTIONAL):
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SIGNATURE: ......................................................................DATE:................................
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