Application for Membership

Print out this application and then fill in the blanks.

Date:____________________________

Being interested in collecting Book Match Covers, Full Book Matches or Boxes, I wish to become a member of the
RATHKAMP MATCHCOVER SOCIETY. Enclosed is $20.00 plus my one-time entry fee of $2.00 for my first year's membership [Canada and Mexico - $25; all other international - $35 ; additional family members are $4 each]. I agree to abide by the rules of the Society as described in the Constitution and By-Laws of the Society, a copy of which will be furnished to me.I will, to the best of my ability, help promote Good Fellowship and Fair Dealing within the hobby.
 
Signed: ___________________________________________________

Name: Mr., Mrs., Miss (print): _________________________________________

Street & No. ___________________________________________________________

City: _________________________ State: __________ Zip + 4: _____________

Occupation:     ___________________________ Married: _____ Single: _____

Date of Birth (mo./day/year): _________ E-Mail address:_________________

I learned of RMS through _______________________________________________

Sponsor and RMS No.:  RMS Web Page

Categories collected (list no more than six): __________________________

________________________________________________________________________

_____ Check here if you want to trade covers and boxes.


Make all remittance payable to: RATHKAMP MATCHCOVER SOCIETY

Mail with fees to:

Mr. Terry L. Rowe
1509 S. Dugan Rd.
Urbana, OH 43078-9209

Office Use Only:

Date _______________________________

Paid from ___________ to ___________

RMS No. ____________________________

Sec'y ______________________________

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