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Date: ___________________
The undersigned desires to become a
member of the Syracuse Stamp Club and will abide by the Constitution and
By-Laws of this club if elected to the membership.
Signature:
_________________________________________
Name:
____________________________ Tel. No.: ___________________
Address:
______________________________________________________
City:
_____________________________ State: _____________________
ZIP: __________
E-mail Addr:____________________________________
Philatelic
Affiliations: ____________________________________________
Occupation:
___________________________________________________
Collecting
Interests:_____________________________________________
How did you learn
about the Syracuse Stamp Club?
_________________________________________________________
Recommended
By:_________________________________
- Dues must
accompany this application
- Dues: Regular
Member $ 12.00/year Junior Member $1.00/year
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Family Plan $12.00/first adult, $6.00/second adult
- Dues Received by
Treasurer: _______________________
- 1st Reading for
membership: _____________ Date elected: _____________
-
Secretary
Secretary
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